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Individual

AMBER SCREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
211 DORIS DR, LAKELAND, FL 33813-1006
(863) 934-4375
Mailing address
PO BOX 982, BARTOW, FL 33831-0982
(863) 934-4375

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/25/2017
Last updated
01/13/2023
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