Individual
AMANDA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
42 RAINY AVE, SAN ANTONIO, TX 78240-2950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
52976
TX
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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