Individual
AMANDA MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2837 1ST AVE N, ST PETERSBURG, FL 33713-8603
(206) 538-1648
Mailing address
14800 WALSINGHAM RD APT 711, LARGO, FL 33774-3310
(206) 538-1648
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3409
FL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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