Individual
AMANDA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3020 S FLORIDA AVE, LAKELAND, FL 33803-4053
(813) 290-8560
Mailing address
3020 S FLORIDA AVE, LAKELAND, FL 33803-4053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12525
FL
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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