Dafoe, Amanda Theresa
Dafoe, Amanda Theresa is an sole proprietor health care provider with primary practice located at 300 W Main St Bldg A , Northborough MA 01532. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dafoe, Amanda Theresa can be contacted via phone (508) 392-5884.Contact Information
Primary practice address
300 W Main St Bldg A
Northborough MA 01532
Phone: (508) 392-5884
Fax: (508) 213-3561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 118068 | Massachusetts |
Profile Details
| NPI number | 1275602468 |
|---|---|
| LBN Legal business name | Dafoe, Amanda Theresa |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | May 20th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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