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1770164618
SAMANTHA WAYNE
BURLINGTON, VT
NPI
1770164618
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Former Name
SAMANTHA KORDONOWY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089.0134304)
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
SAMANTHA WAYNE LICSW
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6000
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Mailing Address
SAMANTHA WAYNE LICSW
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6920
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