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1164523080
COLLEEN DWYER
BURLINGTON, VT
NPI
1164523080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 0890000995)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
-- COLLEEN DWYER LICSW
617 RIVERSIDE AVE
BURLINGTON, VT 05401-1601
Phone number: 802-864-6309
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Mailing Address
-- COLLEEN DWYER LICSW
81 WILLARD STREET
BURLINGTON, VT 05401
Phone number: 802-862-8172
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