Individual
AMANDA FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 RIVERSIDE DRIVE, FLORENCE, MA 01062
(413) 528-6039
Mailing address
6 PEPIN AVE, APT B, EASTHAMPTON, MA 01027-1530
(413) 522-6334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
222147
MA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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