Individual
AMANDA LIN KNOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11901 4TH ST N APT 11202, ST PETERSBURG, FL 33716-1740
(813) 445-3079
Mailing address
11901 4TH ST N APT 11202, ST PETERSBURG, FL 33716-1740
(813) 445-3079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18206
FL
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110825100
—
FL
Enumeration date
10/23/2018
Last updated
07/19/2022
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