Amanda Dibiase

NPI #1174991681 in Gray, Maine

Provider Information

NPI Number: 1174991681
Entity Type: Individual
Name: Amanda Dibiase
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 14, 2015
Last Updated: Sep 14, 2015

Practice Location

Address: 67 SHAKER RD
Address 2: SUITE 7
City: Gray
State: Maine
ZIP Code: 04039-9640
Phone: (207) 657-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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