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Individual

MRS. AMANDA NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10770 N 46TH ST BLDG E, E-178, TAMPA, FL 33617-3442
(813) 631-2560
Mailing address
10770 N 46TH ST BLDG E, E-178, TAMPA, FL 33617-3442
(813) 631-2560

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13676
FL

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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