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NPI 1861677213

NPI 1861677213 : AMANDA MARIE DUNN LCSW-S : CLEAR LAKE SHORES, TX

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General NPI Number Information
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    NPI Number           |    1861677213
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA MARIE DUNN LCSW-S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2008
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    Last Update Date     |    06/28/2025
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Provider Practice Location Address
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    Address Line         |    1500 MARINA BAY DR BLDG 128 
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    City                 |    CLEAR LAKE SHORES
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    State                |    TX
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    Zip                  |    77565-2575
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    Country              |    US
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    Telephone            |    409-204-7682
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    127 HIDDEN LAKE DR. 
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    City                 |    LEAGUE CITY
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    State                |    TX
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    Zip                  |    77573
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    Country              |    US
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    Telephone            |    281-508-1831
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    
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    License Number State |    
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