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Individual

AMANDA BAIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC-1, LICSW

Contact information

Practice address
38 ROUTE 134 STE 7B, SOUTH DENNIS, MA 02660-3818
(508) 360-3288
Mailing address
38 ROUTE 134 STE 7B, SOUTH DENNIS, MA 02660-3818
(508) 360-3288

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
LICSW126556
MA

Other

Enumeration date
10/25/2017
Last updated
10/16/2023
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