Individual
LACEY AMANDA PRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 N ARMENIA AVE, TAMPA, FL 33607-3406
(813) 444-8760
Mailing address
10863 BOYETTE RD, RIVERVIEW, FL 33569-8012
(813) 444-8760
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1375
FL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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