AMANDA PORTER

SOUTH PORTLAND, ME
NPI1720733686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC6619)
Enumeration Date2022-02-18
Last Update Date2022-02-18
Business Address
AMANDA PORTER LADC, CCS
525 MAIN ST STE E
SOUTH PORTLAND, ME 04106-5457
Phone number: 207-767-0991
Mailing Address
AMANDA PORTER LADC, CCS
525 MAIN ST STE E
SOUTH PORTLAND, ME 04106-5457
Phone number: 207-767-0991
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