Individual
MRS. AMANDA JEAN STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATE SOCIAL WOR
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1208
(619) 532-7150
(619) 532-9501
Mailing address
6000 US-98, PENSACOLA, FL 32512-0001
(360) 204-4884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19611
FL
Other
Enumeration date
09/18/2015
Last updated
11/09/2023
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