Individual
AMANDA COURTENAY MANCHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 CHESTNUT DR, SAVANNAH, TX 76227-7668
(972) 904-9039
Mailing address
1425 CHESTNUT DR, SAVANNAH, TX 76227-7668
(972) 904-9039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56379
TX
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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