Individual
AMBER R ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
227 CONGRESS ST, 3RD FLOOR, PORTLAND, ME 04101-3609
(207) 590-9207
(207) 282-5230
Mailing address
PO BOX 1565, BIDDEFORD, ME 04005-1565
(207) 590-9207
(207) 282-5230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12988
ME
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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