Individual
AMANDA PHYLLIS LEDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
615 CONGRESS ST STE 310, PORTLAND, ME 04101-5354
(207) 319-8762
Mailing address
291 BRACKETT ST APT 3, PORTLAND, ME 04102-3291
(207) 319-8762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL7464
ME
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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