Individual
AMY ACKROYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
329 BATH RD, BRUNSWICK, ME 04011-2609
(207) 373-3000
Mailing address
104 SWETT RD, WINDHAM, ME 04062-4617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC9426
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432457299
—
ME
Enumeration date
01/08/2007
Last updated
07/08/2007
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