Individual
AMANDA TOBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 SE HILLMOOR DR STE 104, PORT ST LUCIE, FL 34952-8057
(917) 647-9238
Mailing address
2850 SE EAGLE DR, PORT ST LUCIE, FL 34984-6319
(917) 647-9268
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/29/2018
Last updated
06/05/2023
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