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1518701796
AMANDA PHYLLIS LEDUE
PORTLAND, ME
NPI
1518701796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ME XL7464)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
AMANDA PHYLLIS LEDUE LCPC-c
615 CONGRESS ST STE 310
PORTLAND, ME 04101-5354
Phone number: 207-319-8762
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Mailing Address
AMANDA PHYLLIS LEDUE LCPC-c
291 BRACKETT ST APT 3
PORTLAND, ME 04102-3291
Phone number: 207-319-8762
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