Individual
AMANDA A. BURROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
160 BENMONT AVE # C3-93, BENNINGTON, VT 05201-1873
(802) 447-0005
Mailing address
160 BENMONT AVE C3-93, BENNINGTON, VT 05201-2273
(802) 447-0005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
089-0001028
VT
1041C0700X
Clinical Social Worker
Primary
089-0001028
VT
1041S0200X
School Social Worker
089-0001028
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010665
—
VT
01
—
2177231
CIGNA
—
01
—
68083
BLUE CROSS
—
Enumeration date
07/17/2006
Last updated
02/05/2016
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