Individual
AMANDA LEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
440 AMHERST ST, NASHUA, NH 03063-1225
(603) 889-6147
(306) 595-0758
Mailing address
100 W PEARL ST, NASHUA, NH 03060-3343
(603) 889-6147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
055921
NY
1041C0700X
Clinical Social Worker
Primary
2392
NH
Other
Enumeration date
03/03/2015
Last updated
10/22/2020
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