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1205050747
LISA SELVIG AMATO
JACKSONVILLE BEACH, FL
NPI
1205050747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist Clinical Child & Adolescent
(Licence: FL PY6944)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
LISA SELVIG AMATO PH.D.
1538 THE GREENS WAY SUITE 101
JACKSONVILLE BEACH, FL 32250-2499
Phone number: 904-543-0161
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Mailing Address
LISA SELVIG AMATO PH.D.
1685 BLUE HERON LN
JACKSONVILLE BEACH, FL 32250-2562
Phone number: 904-270-0743
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