Individual
AMANDA MICHELLE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
15543 LONESOME DOVE ST, BOX ELDER, SD 57719-8139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4883
SD
1041C0700X
Clinical Social Worker
Primary
6037
SD
Other
Enumeration date
03/06/2019
Last updated
01/06/2025
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