Individual
MRS. AMANDA NICOLE FUCHSWANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7410 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-1432
(772) 334-9311
Mailing address
7410 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-1432
(772) 334-9311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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