Individual
MRS. AMANDA LYNN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3515 E FLETCHER AVE, MDC 14, TAMPA, FL 33613-4702
(813) 974-8900
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z06X3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2012
Last updated
10/15/2015
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