Individual
AMY ELIZABETH FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7040 61ST ST, VERO BEACH, FL 32967-4928
(772) 766-2069
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 252-3245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW3798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW3798
STATE LICENSE
FL
Enumeration date
05/13/2008
Last updated
05/06/2026
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