Organization
AMY GOODE LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E GOODE LCSW (CLINICAL SOCIAL WORKER/THERAPIST)
(207) 272-0744
Entity
Organization
Contact information
Practice address
47 MAIN ST STE 235, BANGOR, ME 04401-6330
(207) 241-9697
Mailing address
PO BOX 574, TOPSHAM, ME 04086-0574
(207) 272-0744
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
09/20/2023
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