Individual
AMY FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273
Mailing address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7236
FL
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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