Individual
AMANDA MCPHETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
106 GILMAN ST, PORTLAND, ME 04102-3034
(207) 874-1080
(207) 874-1077
Mailing address
106 GILMAN ST, PORTLAND, ME 04102-3034
(207) 874-1080
(207) 874-1077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17139
ME
1041C0700X
Clinical Social Worker
Primary
MC15843
ME
Other
Enumeration date
12/10/2015
Last updated
05/07/2026
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