Individual
AMANDA LOUISE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 E STATE ST STE 201, MONTPELIER, VT 05602-3112
(802) 371-9727
Mailing address
100 E STATE ST STE 201, MONTPELIER, VT 05602-3112
(802) 371-9727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0136366
VT
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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