Individual
AMY JO LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
107 PARK ST, SPRINGFIELD, VT 05156-3028
(802) 885-5781
(802) 885-4851
Mailing address
1 HOSPITAL CT, STE 410, BELLOWS FALLS, VT 05101-1489
(802) 463-3294
(802) 463-1206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
089-0000245
VT
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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