Individual
AMANDA MANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RPT
Contact information
Practice address
826 SW MAIN BLVD STE 102, LAKE CITY, FL 32025-5742
(386) 984-5366
Mailing address
826 SW MAIN BLVD STE 102, LAKE CITY, FL 32025-5742
(386) 984-5366
(386) 287-6525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19170
FL
Other
Enumeration date
01/18/2023
Last updated
09/11/2023
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