Individual
AMANDA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6421 N FLORIDA AVE STE D-1605, TAMPA, FL 33604-6007
(813) 474-8567
Mailing address
6421 N FLORIDA AVE STE D-1605, TAMPA, FL 33604-6007
(904) 717-1618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW17117
FL
Other
Enumeration date
05/26/2020
Last updated
01/30/2025
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