Individual
MS. AMANDA FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 470-6900
Mailing address
778 PORT WINE LN, JACKSONVILLE, FL 32225-5230
(904) 220-5123
(904) 642-9108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9272
FL
Other
Enumeration date
10/14/2009
Last updated
06/09/2023
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