Individual
AMANDA LEE CHILCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E BAKER ST STE 100, PLANT CITY, FL 33563-3700
(813) 754-5555
Mailing address
2770 ROOSEVELT BLVD APT 4453, CLEARWATER, FL 33760-2599
(814) 528-1492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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