Individual
MS. AMY SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001188
VT
Other
Enumeration date
07/16/2007
Last updated
09/22/2017
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