Individual
AMANDA L MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0775
Mailing address
PO BOX 1018, CARIBOU, ME 04736-1018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC6298
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAC6298
LICENSE
ME
Enumeration date
05/16/2017
Last updated
05/16/2017
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