Individual
AMY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1215 E COURT ST, SEGUIN, TX 78155
(830) 491-1427
Mailing address
2925 GULF FWY S STE B, #484, LEAGUE CITY, TX 77573-6769
(830) 911-4274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216058204
—
TX
Enumeration date
07/09/2010
Last updated
12/31/2020
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