(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003575002
Provider Name: ELYZA MOORE LICSW
Entity Type: Individual
Taxonomy Code: 1041C0700X
Specialty: Social Worker
License Number: 089.0124729
Most Important Dates
Enumeration Date: 12/17/2021
Last Updated: 12/17/2021
Provider Practice Location
1138 PINE ST
BURLINGTON
VT
054015353
Practice Location Phone/Fax
Phone: 8024886000
Fax: 8024886919
Provider Mailing Location
208 FLYNN AVE STE 3J
BURLINGTON
VT
054015420
Provider Mailing Phone/Fax
Phone: 8024886920
Fax: 8024886919