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1003575002
ELYZA MOORE
BURLINGTON, VT
NPI
1003575002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VT 089.0124729)
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
ELYZA MOORE LICSW
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6000
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Mailing Address
ELYZA MOORE LICSW
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6920
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