Individual
MRS. AMIE LYN HASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
52 CHRISTIAN RIDGE RD, ELLSWORTH, ME 04605-2116
(207) 667-5357
(207) 288-7024
Mailing address
52 CHRISTIAN RIDGE RD, ELLSWORTH, ME 04605-2116
(207) 667-5357
(207) 288-7024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10709
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411810099
—
ME
01
—
LC10709
MAINE LICENSE
ME
Enumeration date
10/05/2006
Last updated
04/26/2016
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