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Individual

AMANDA SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0387
(207) 454-0232
Mailing address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0387
(207) 454-0232

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LC13942
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01-0276859
ME
Enumeration date
11/18/2010
Last updated
03/12/2013
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