Individual
MS. AMANDA LEIGH MWANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 214-2631
Mailing address
3025 COLONIAL AVE, WACO, TX 76707-2538
(254) 214-2631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
53073
TX
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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