Individual
MRS. AMANDA KAY VITANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2504 LYNNBROOK DR, AUSTIN, TX 78748-2127
(512) 923-6035
Mailing address
2504 LYNNBROOK DR, AUSTIN, TX 78748-2127
(512) 923-6035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
42133
TX
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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