Individual
AMBER C. DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7585 NW ARCHERFIELD DR, PORT SAINT LUCIE, FL 34987-5400
(678) 360-6535
Mailing address
7585 NW ARCHERFIELD DR, PORT SAINT LUCIE, FL 34987-5400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0904015268
VA
1041C0700X
Clinical Social Worker
CSW007115
GA
1041C0700X
Clinical Social Worker
Primary
SW17684
FL
Other
Enumeration date
06/20/2019
Last updated
04/12/2024
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