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Individual

AMANDA WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
25 AMIDEO DR, LEOMINSTER, MA 01453-4103
(978) 252-2514
(978) 537-2105
Mailing address
25 AMIDEO DR, LEOMINSTER, MA 01453-4103
(978) 252-2514
(978) 537-2105

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
213381
MA
1041C0700X
Clinical Social Worker
Primary
122812
MA

Other

Enumeration date
04/22/2019
Last updated
08/02/2020
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