DRIFT E MAVYN

BRATTLEBORO, VT
NPI1316683758
Professional NameDRIFT MAVYN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089.0134630)
Enumeration Date2022-05-09
Last Update Date2023-12-25
Business Address
DRIFT E MAVYN MSW, LICSW
38 PARK PL
BRATTLEBORO, VT 05301-2827
Phone number: 802-321-5066
Mailing Address
DRIFT E MAVYN MSW, LICSW
PO BOX 1607
BRATTLEBORO, VT 05302-1607
Phone number: 802-321-5066