Individual
AMANDA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(914) 564-9778
Mailing address
PO BOX 756, BLUE HILL, ME 04614-0756
(914) 564-9778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC19062
ME
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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