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1255723623
AMANDA J COLLISTER
BARTOW, FL
NPI
1255723623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13971)
Enumeration Date
2015-02-23
Last Update Date
2016-06-07
Business Address
-- AMANDA J COLLISTER LMHC
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
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Mailing Address
-- AMANDA J COLLISTER LMHC
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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