Individual
MRS. AMANDA VANESSA PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 941-2952
(207) 941-2955
Mailing address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 941-2952
(207) 941-2955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC12792
ME
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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