Individual
MRS. AMANDA CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-3566
(813) 449-8556
Mailing address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-3566
(813) 449-8556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 13150
FL
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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