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Individual

AMANDA STICKNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.M.H.C.

Contact information

Practice address
123 N SINCLAIR AVE, TAVARES, FL 32778-3229
(727) 502-3864
Mailing address
399 E BURLEIGH BLVD UNIT 392, TAVARES, FL 32778-7517
(727) 490-8936

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11878
FL

Other

Enumeration date
06/13/2013
Last updated
11/27/2022
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