Individual
AMANDA BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468-1613
(207) 404-8100
(207) 947-0435
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C014509
NC
1041C0700X
Clinical Social Worker
Primary
LC22692
ME
Other
Enumeration date
11/18/2021
Last updated
05/16/2025
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