Individual
AMANDA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
105 CHAUNCY ST STE 302, BOSTON, MA 02111-1771
(617) 879-8361
Mailing address
232 MYSTIC ST, ARLINGTON, MA 02474-1102
(203) 451-5509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119906
MA
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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