Individual
AMANDA L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3034 ST ARMAND RD, SWANTON, VT 05488-8737
(802) 238-6883
Mailing address
3034 ST ARMAND RD, SWANTON, VT 05488-8737
(802) 238-6883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134226
VT
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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