Individual
AMANDA ROSE WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103
(336) 718-3550
(336) 277-6981
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-3550
(336) 277-6981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007056A
IN
1041C0700X
Clinical Social Worker
67544
TX
1041C0700X
Clinical Social Worker
Primary
C011440
NC
Other
Enumeration date
08/18/2015
Last updated
03/15/2026
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