Individual
AMANDA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5719 88TH ST, LUBBOCK, TX 79424-4504
(806) 241-1005
Mailing address
5719 88TH ST, LUBBOCK, TX 79424-4504
(806) 241-1005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54117
TX
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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