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1174991681
AMANDA DIBIASE
GRAY, ME
NPI
1174991681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC14978)
Enumeration Date
2015-09-14
Last Update Date
2015-09-14
Business Address
-- AMANDA DIBIASE
67 SHAKER RD SUITE 7
GRAY, ME 04039-9640
Phone number: 207-657-7700
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Mailing Address
-- AMANDA DIBIASE
67 SHAKER RD SUITE 7
GRAY, ME 04039-9640
Phone number:
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