Individual
AMY BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
824 N FERDON BLVD, CRESTVIEW, FL 32536-2157
(850) 603-0941
Mailing address
824 N FERDON BLVD, CRESTVIEW, FL 32536-2157
(850) 603-0941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1396547170
FL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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