Individual
AMANDA JENNINGS FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4911 S MANHATTAN AVE, TAMPA, FL 33611-3429
(813) 471-9709
(813) 872-7766
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-9136
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW17320
FL
Other
Enumeration date
07/07/2020
Last updated
10/27/2023
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