Individual
AMANDA NICOLE SHOLTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5074
(352) 265-7020
Mailing address
PO BOX 357402, GAINESVILLE, FL 32635-7402
(352) 215-0029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18570
FL
Other
Enumeration date
06/09/2021
Last updated
12/06/2021
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