Individual
AMANDA SHANKS MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1750 17TH ST, SUITE J-2, SARASOTA, FL 34234-8632
(941) 552-2078
(941) 552-2079
Mailing address
1750 17TH ST, SUITE J-2, SARASOTA, FL 34234-8632
(941) 552-2078
(941) 552-2079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05198900
NJ
1041C0700X
Clinical Social Worker
Primary
SW9314
FL
Other
Enumeration date
04/23/2007
Last updated
09/05/2012
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