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1366518490
ELISABETH A MICKENBERG
BURLINGTON, VT
NPI
1366518490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089-0000052)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- ELISABETH A MICKENBERG LICSW
300 FLYNN AVE
BURLINGTON, VT 05401-5301
Phone number: 802-658-0400
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Mailing Address
-- ELISABETH A MICKENBERG LICSW
300 FLYNN AVE
BURLINGTON, VT 05401-5301
Phone number: 802-658-0400
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