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1417609165
AMANDA SHAW
BRADENTON, FL
NPI
1417609165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH20223)
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
AMANDA SHAW MA, LMHC
5131 MANATEE AVE W
BRADENTON, FL 34209-3740
Phone number: 941-792-0802
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Mailing Address
AMANDA SHAW MA, LMHC
5613 FISHERMANS DR
BRADENTON, FL 34209-6770
Phone number: 321-557-6389
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