Individual
AMY MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 357-3929
Mailing address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 357-3929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13244
ME
Other
Enumeration date
05/04/2010
Last updated
03/27/2015
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