Individual
MS. AMANDA MOORE-KRUMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11254 58TH ST, PINELLAS PARK, FL 33782-2213
(727) 545-6477
Mailing address
11254 58TH ST, PINELLAS PARK, FL 33782-2213
(727) 545-6477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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