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General NPI Number Information
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NPI Number | 1013389378
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Entity Type | Individual
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Provider Name | AMANDA-JANAE BRIGGS LICSW, LCSW, PMH-C
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Gender | Female
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 661 WASHINGTON ST UNIT 364
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City | CANTON
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State | MA
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Zip | 02021-0230
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Country | US
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Telephone | 781-739-2018
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Fax |
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Provider Business Mailing Address
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Address Line | 1339 W WAHALLA LN
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City | PHOENIX
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State | AZ
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Zip | 85027-4331
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 123171
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19984
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License Number State | AZ
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