Individual
AMANDA BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 11TH AVE STE A2, SHALIMAR, FL 32579-1318
(850) 461-3167
(850) 979-8775
Mailing address
1 11TH AVE STE A2, SHALIMAR, FL 32579-1318
(850) 461-3167
(850) 979-8775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW16062
FL
Other
Enumeration date
04/29/2019
Last updated
07/26/2023
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