Individual
AMBER LYNN PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RCSWI, CWCM
Contact information
Practice address
3510 W AZEELE ST APT 254, TAMPA, FL 33609-2940
(704) 221-1136
Mailing address
3510 W AZEELE ST APT 254, TAMPA, FL 33609-2940
(704) 221-1136
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW15851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW15851
RCSWI NUMBER
FL
Enumeration date
11/21/2021
Last updated
11/21/2021
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