Individual
AMANDA BARQUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 248-0095
Mailing address
960 CARLOTTA RD W, JACKSONVILLE, FL 32211-6062
(904) 248-0095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
FL
Other
Enumeration date
08/13/2020
Last updated
10/05/2022
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