Individual
AMANDA JAYNE QUICKSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5835 PENROSE AVE, DALLAS, TX 75206-5591
(469) 708-9217
Mailing address
714 CLERMONT AVE, DALLAS, TX 75223-1212
(972) 971-8859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113881
TX
Other
Enumeration date
10/10/2008
Last updated
11/11/2025
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