Individual
MRS. AMBER ROSE TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17888 67TH CT N, LOXAHATCHEE, FL 33470-3275
(844) 830-7233
Mailing address
4113 BARCLAY DR, PACE, FL 32571-2229
(901) 288-7965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12786
CT
1041C0700X
Clinical Social Worker
CSW.09929203
CO
1041C0700X
Clinical Social Worker
Primary
SW11863
FL
Other
Enumeration date
04/14/2020
Last updated
09/13/2024
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