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Amanda Brunson, LCSW

Social Worker, Clinical in Shalimar, FL. Individual provider (NPI-1).

NPI number1508420175
StatusActive
Last updated in NPPESJul 26, 2023

Details

NPI
1508420175
Entity type
Individual (NPI-1)
Name
Amanda Brunson
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 29, 2019
Certification date
Jul 26, 2023
Last updated
Jul 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW16062FLYes

Practice location

1 11th Ave Ste A2
Shalimar, FL 32579-1318

Phone 850-461-3167 · Fax 850-979-8775

Mailing address

1 11th Ave Ste A2
Shalimar, FL 32579-1318

Phone 850-461-3167 · Fax 850-979-8775

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Other Clinical Social Worker providers in Shalimar, FL

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