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Individual

ANDREA LYN ANDREASEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2795 KEYSTONE RD, TARPON SPRINGS, FL 34688-7425
(813) 493-8908
(813) 962-4385
Mailing address
5517 VAN DYKE RD, LUTZ, FL 33558-4883
(813) 493-8908
(813) 962-4385

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
FL
101YP2500X
Professional Counselor
Primary
SW10462
FL

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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