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1811121825
AMANDA L MOORE
BURLINGTON, VT
NPI
1811121825
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Former Name
AMANDA SIEGAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089-0083268)
Enumeration Date
2009-05-05
Last Update Date
2013-09-19
Business Address
-- AMANDA L MOORE LICSW
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6600
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Mailing Address
-- AMANDA L MOORE LICSW
208 FLYNN AVE SUITE 3J
BURLINGTON, VT 05401-5429
Phone number: 802-488-6920
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