Individual
AMANDA GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 377-7434
Mailing address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111763200
—
FL
Enumeration date
09/09/2021
Last updated
02/04/2022
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