Individual
AMANDA METHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MAIN ST, SACO, ME 04072-1566
(207) 571-9923
Mailing address
18 LAMOTHE AVE, BIDDEFORD, ME 04005-2906
(207) 590-6995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC14857
ME
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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