Individual
MRS. AMANDA MARIE MIMANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54-56 BOSTON POST RD, WILLIMANTIC, CT 06226
(860) 456-7990
Mailing address
52 PERRY HILL RD APT 3F, ASHFORD, CT 06278-1028
(860) 341-6078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/28/2025
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