Individual
MRS. AMANDA BROUILLET MAGGIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 N CONGRESS AVE STE 426, DELRAY BEACH, FL 33445-4641
(860) 558-3905
Mailing address
4790 GLENN PINE LN, BOYNTON BEACH, FL 33436-6154
(860) 558-3905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW12125
FL
Other
Enumeration date
03/24/2014
Last updated
11/29/2021
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