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1043328180
GRACE MARIE MIGNOSA
BURLINGTON, VT
NPI
1043328180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 0890000584)
Enumeration Date
2006-08-28
Last Update Date
2012-02-10
Business Address
-- GRACE MARIE MIGNOSA LICSW
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6600
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Mailing Address
-- GRACE MARIE MIGNOSA LICSW
208 FLYNN AVE SUITE 3J
BURLINGTON, VT 05401-5429
Phone number: 802-488-6900
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