AMANDA MARIA LARSON

MIDDLEBURG, FL
NPI1114568912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH17383)
Enumeration Date2019-10-02
Last Update Date2020-01-06
Business Address
AMANDA MARIA LARSON
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068-4357
Phone number: 904-291-5561
Mailing Address
AMANDA MARIA LARSON
1726 KINGSLEY AVE STE 2
ORANGE PARK, FL 32073-4411
Phone number: