Individual
AMANDA MICHELE BARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1711 SE 21ST ST, CAPE CORAL, FL 33990-4736
(813) 787-5373
Mailing address
1711 SE 21ST ST, CAPE CORAL, FL 33990-4736
(813) 787-5373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
FL
Other
Enumeration date
04/06/2022
Last updated
05/14/2022
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