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Individual

AMANDA N DELACRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2900 W PROSPECT RD, FORT LAUDERDALE, FL 33309-2519
(954) 731-1000
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW19642
FL
1041C0700X
Clinical Social Worker
SW19642
FL

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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