Individual
AMANDA GOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 SPANISH WELLS RD, JACKSONVILLE, FL 32218-8926
(904) 502-8502
(904) 770-5596
Mailing address
92 RIVA RIDGE PL, ST JOHNS, FL 32259-7452
(816) 529-2184
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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