Individual
AMANDA NICOLE THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 WORTHINGTON ST, SPRINGFIELD, MA 01105-1140
(413) 732-3069
Mailing address
755 WORTHINGTON ST, SPRINGFIELD, MA 01105-1140
(413) 732-3069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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