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Individual

AMANDA QUIRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2909 W BAY TO BAY BLVD STE 210, TAMPA, FL 33629-8100
(813) 732-9579
Mailing address
2909 W BAY TO BAY BLVD STE 210, TAMPA, FL 33629-8100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
ISW13983
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
ISW13983
FL
101YM0800X
Mental Health Counselor
ISW13983
FL
104100000X
Social Worker
ISW13983
FL
1041C0700X
Clinical Social Worker
Primary
ISW13983
FL

Other

Enumeration date
12/19/2019
Last updated
12/19/2019
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