Individual
AMY PRESTON PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 CAPRI DR, KILLEEN, TX 76549-4596
(334) 444-9140
Mailing address
4300 CAPRI DR, KILLEEN, TX 76549-4596
(334) 444-9140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
078652
NY
1041C0700X
Clinical Social Worker
2431C
AL
1041C0700X
Clinical Social Worker
Primary
57440
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2007
Last updated
05/20/2015
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