Grace Marie Mignosa LICSW

NPI 1043328180 - Social Worker - 1041C0700X

NPI Details
NPI 1043328180
Gender Female
Enumeration Date 08/28/2006
Last Updated 02/10/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1138 PINE ST
BURLINGTON VT, 05401-5353, US
Phone (802) 488-6600
Fax (802) 488-6919
Business Location
208 FLYNN AVE
SUITE 3J
BURLINGTON VT, 05401-5429, US
Phone (802) 488-6900
Fax (802) 488-6919
Toxanomy
Taxonomy Code 1041C0700X
License State Vermont
License Number 0890000584
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According to our database, Grace Marie Mignosa LICSW NPI is 1043328180, taxonomy code is 1041C0700X and license number is 0890000584, license state is located at Vermont. Grace Marie Mignosa LICSW physically located at 1138 Pine St, Burlington VT, 05401-5353. NPI Number Grace Marie Mignosa LICSW has the Individual type.

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1043328180 NPI number is provided on an as is basis without warranty of any kind. 1043328180 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Marie Mignosa LICSW are for informational purposes only.