Individual
AMANDA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
117 PARTIN DR N, NICEVILLE, FL 32578-2055
(850) 960-8440
(850) 505-3068
Mailing address
117 PARTIN DR N, NICEVILLE, FL 32578-2055
(850) 960-8440
(850) 810-0601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19324
FL
Other
Enumeration date
01/06/2022
Last updated
01/13/2023
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