Individual
AMANDA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
130 AUSTINE DR, BRATTLEBORO, VT 05301-7040
(802) 321-4412
Mailing address
26 BLACK LOCUST RD, PUTNEY, VT 05346-8880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
097.0134147
VT
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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