Individual
AMANDA LEIGH HAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW CP
Contact information
Practice address
5435 JAPONICA AVE, PENSACOLA, FL 32507-8848
(850) 332-3087
Mailing address
5435 JAPONICA AVE, PENSACOLA, FL 32507-8848
(850) 332-3087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13286
SC
1041C0700X
Clinical Social Worker
Primary
SW16336
FL
Other
Enumeration date
10/04/2019
Last updated
07/15/2020
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