Individual
AMBER QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 S PRESTON RD STE 30, PROSPER, TX 75078-3068
(469) 678-8401
Mailing address
1660 S UNIVERSITY DR # 1262, FORT WORTH, TX 76107-6524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68779
TX
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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