Individual
AMANDINE MALLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
152 HOME AVE, BURLINGTON, VT 05401-5046
(617) 750-6905
Mailing address
152 HOME AVE, BURLINGTON, VT 05401-5046
(617) 750-6905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0124382
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6707912
—
VT
Enumeration date
08/24/2021
Last updated
05/06/2025
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