Individual
MISS AMANDA CAITLIN MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2002 HOLCOMBE BOULEVARD, MAIL CODE: 116GMHC, HOUSTON, TX 77030-3945
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
52950
TX
1041C0700X
Clinical Social Worker
Primary
59250
TX
Other
Enumeration date
12/03/2014
Last updated
04/29/2020
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