Individual
MRS. AMANDA DEWILDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1 MIDDLE ST STE 206, PORTSMOUTH, NH 03801-4391
(603) 998-2660
Mailing address
1 MIDDLE ST STE 206, PORTSMOUTH, NH 03801-4391
(603) 998-2660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
120
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99560059
—
NH
Enumeration date
05/22/2007
Last updated
04/07/2023
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