Individual
MRS. AMY FORTENBURY STANDIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
509 GEORGE HOPPER RD STE B, MIDLOTHIAN, TX 76065-5518
(214) 864-9174
Mailing address
509 GEORGE HOPPER RD STE B, MIDLOTHIAN, TX 76065-5518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68306
TX
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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