AMELIA FORMAN

ROUND ROCK, TX
NPI1467278002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  14492)
Enumeration Date2024-11-27
Last Update Date2024-11-27
Business Address
AMELIA FORMAN LCDC
1009 N GEORGETOWN ST
ROUND ROCK, TX 78664-3289
Phone number: 512-255-1720
Mailing Address
AMELIA FORMAN LCDC
1009 N GEORGETOWN ST
ROUND ROCK, TX 78664-3289
Phone number:
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