Individual
AMANDA GRAY DEPIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP
Contact information
Practice address
17886 N US HIGHWAY 41, LUTZ, FL 33549-4502
(850) 519-7578
Mailing address
17886 N US HIGHWAY 41, LUTZ, FL 33549-4502
(850) 519-7578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 9857
FL
Other
Enumeration date
04/19/2012
Last updated
08/01/2012
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