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1720733686
AMANDA PORTER
SOUTH PORTLAND, ME
NPI
1720733686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC6619)
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
AMANDA PORTER LADC, CCS
525 MAIN ST STE E
SOUTH PORTLAND, ME 04106-5457
Phone number: 207-767-0991
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Mailing Address
AMANDA PORTER LADC, CCS
525 MAIN ST STE E
SOUTH PORTLAND, ME 04106-5457
Phone number: 207-767-0991
Copy
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