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1679042535
AMANDA ROSE IANNOTTI
JACKSONVILLE, FL
NPI
1679042535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16379)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
AMANDA ROSE IANNOTTI LMHC
3333 W 20TH ST
JACKSONVILLE, FL 32254-1703
Phone number: 904-695-9145
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Mailing Address
AMANDA ROSE IANNOTTI LMHC
PO BOX 19249
JACKSONVILLE, FL 32245-9249
Phone number: 904-743-1883
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