Individual
MS. AMANDA DANIELLE KUKUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Mailing address
5256 WELLINGTON PARK CIR APT A38, ORLANDO, FL 32839-4620
(239) 565-4254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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