Individual
MRS. AMANDA THERESA DAFOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 W MAIN ST BLDG A, NORTHBOROUGH, MA 01532
(508) 392-5884
(508) 213-3561
Mailing address
300 W MAIN ST BLDG A, NORTHBOROUGH, MA 01532-2132
(508) 392-5884
(508) 213-3561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118068
MA
Other
Enumeration date
11/06/2006
Last updated
05/20/2019
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