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Individual

AMY SCISM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
230 JOHN KNOX RD STE 1, TALLAHASSEE, FL 32303-6681
(850) 901-9474
Mailing address
1836 PORTLAND AVE, TALLAHASSEE, FL 32303-3504
(954) 376-0870

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15482
FL

Other

Enumeration date
02/24/2021
Last updated
05/18/2023
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