Individual
MS. AMY JO VANDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
249 N DEER ISLE RD, DEER ISLE-STONINGTON ELEMENTARY SCHOOL, DEER ISLE, ME 04627-3432
(207) 460-6304
Mailing address
PO BOX 426, HANCOCK, ME 04640-0426
(207) 460-6304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11037
ME
Other
Enumeration date
10/25/2007
Last updated
05/06/2016
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