Individual
MS. AMANDA L GANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6408 ANTIGO LN, AUSTIN, TX 78739-2044
(087) 142-6447
(512) 359-8261
Mailing address
6408 ANTIGO LN, AUSTIN, TX 78739-2044
(708) 714-2644
(512) 359-8261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55454
TX
Other
Enumeration date
09/08/2011
Last updated
01/28/2021
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