Individual
AMY STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W COLLEGE ST, SUITE 210, GRAPEVINE, TX 76051-3580
(817) 481-0111
Mailing address
1600 W COLLEGE ST, SUITE 210, GRAPEVINE, TX 76051-3580
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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