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Individual

AMANDA GOERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5751 KROGER DR STE 114, FORT WORTH, TX 76244-5633
(682) 593-1402
Mailing address
637 N HAMPTON ST APT 2312, FORT WORTH, TX 76102-5046
(817) 968-7927

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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