Individual
AMANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14540 CORTEZ BLVD, BROOKSVILLE, FL 34613-6056
(352) 597-8287
Mailing address
14540 CORTEZ BLVD, BROOKSVILLE, FL 34613-6056
(352) 597-8287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15285
FL
Other
Enumeration date
11/14/2022
Last updated
02/07/2023
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