Individual
AMY J KLARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
505 E JACKSON ST, SUITE 209, TAMPA, FL 33602-4989
(813) 375-2650
Mailing address
5612 43RD ST E, BRADENTON, FL 34203-5506
(941) 744-6155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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