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Individual

AMANDA FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC

Contact information

Practice address
11 CALDWELL RD, AUGUSTA, ME 04330-5739
(207) 873-2136
Mailing address
11 CALDWELL RD, AUGUSTA, ME 04330-5739

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN66487
ME

Other

Enumeration date
09/17/2020
Last updated
09/17/2020
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