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1285708644
REGINA DENISE TRAILWEAVER
RUTLAND, VT
NPI
1285708644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VT 089-0000723)
Enumeration Date
2006-11-20
Last Update Date
2007-07-09
Business Address
REGINA DENISE TRAILWEAVER LICSW
128 MERCHANTS ROW RM 605
RUTLAND, VT 05701-5909
Phone number: 802-773-1411
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Mailing Address
REGINA DENISE TRAILWEAVER LICSW
342 VT ROUTE 100
HANCOCK, VT 05748
Phone number: 802-767-9263
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