LICIA BERRY-BERARD, MSW, LICSW LLC

THETFORD, VT
NPI1124891809
Former Legal Business NameLICIA BERRY-BERARD, MSW, LICSW LLC
Entity TypeOrganization
Authorized ContactLICIA LANE BERRY-BERARD
Owner
802-698-2246
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2023-11-03
Last Update Date2024-01-02
Business Address
LICIA BERRY-BERARD, MSW, LICSW LLC
321 ROUTE 113
THETFORD, VT 05054
Phone number: 802-565-0424
Mailing Address
LICIA BERRY-BERARD, MSW, LICSW LLC
PO BOX 44
NORTH THETFORD, VT 05054-0044
Phone number: 802-698-2246