Individual
MRS. AMANDA GAY BORDWINE-LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
16 STILLWOOD CIR, NOTTINGHAM, MD 21236-2543
(410) 598-2100
(410) 265-1258
Mailing address
16 STILLWOOD CIR, NOTTINGHAM, MD 21236-2543
(410) 598-2100
(410) 265-1258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13486
MD
1041C0700X
Clinical Social Worker
Q1-0001050
DE
Other
Enumeration date
09/25/2010
Last updated
07/13/2011
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