Individual
AMANDA LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613-4706
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112850900
—
FL
Enumeration date
10/29/2021
Last updated
07/15/2022
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