Individual
AMANDA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADCA
Contact information
Practice address
689 ODLIN RD STE 1, BANGOR, ME 04401-6709
(207) 947-6800
Mailing address
689 ODLIN RD STE 1, BANGOR, ME 04401-6709
(207) 947-6800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AD8190
ME
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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