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1104502145
AMANDA S HAWTHORNE
JACKSONVILLE, FL
NPI
1104502145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW20366)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
AMANDA S HAWTHORNE LCSW
8130 BAYMEADOWS CIR W # 204-206
JACKSONVILLE, FL 32256-1880
Phone number: 904-608-9881
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Mailing Address
AMANDA S HAWTHORNE LCSW
1523 IBIS DR
ORANGE PARK, FL 32065-7381
Phone number: 904-505-3998
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