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Individual

AMOS LAMAR LEGGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5821 GARFIELD ST, HOLLYWOOD, FL 33021-5152
(954) 987-3201
Mailing address
7948 EMBASSY BLVD, MIRAMAR, FL 33023-6412
(786) 444-0386

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/15/2017
Last updated
12/15/2017
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