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1205425428
AMANDA BUMGARNER
LAKE MARY, FL
NPI
1205425428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL 19847)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
AMANDA BUMGARNER
3415 W LAKE MARY BLVD # 950103
LAKE MARY, FL 32746-3411
Phone number: 407-602-4194
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Mailing Address
AMANDA BUMGARNER
PO BOX 950103
LAKE MARY, FL 32795-0103
Phone number: 407-602-4194
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