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Individual

MRS. AMANDA ROSE PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
25400 US HIGHWAY 19 N STE 156, CLEARWATER, FL 33763-2150
(727) 265-1147
Mailing address
25400 US HIGHWAY 19 N STE 156, CLEARWATER, FL 33763-2150
(727) 265-1147

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMT2124
FL
106H00000X
Marriage & Family Therapist
Primary
MT3732
FL

Other

Enumeration date
07/27/2016
Last updated
02/13/2023
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