Individual
MS. AMANDA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW 18293
Contact information
Practice address
1890 NW 127TH ST, MIAMI, FL 33167-2175
(786) 319-7339
Mailing address
1890 NW 127TH ST, MIAMI, FL 33167-2175
(786) 319-7339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18293
FL
390200000X
Student in an Organized Health Care Education/Training Program
ISW13554
FL
Other
Enumeration date
07/16/2020
Last updated
06/15/2021
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