| NPI | 1952451650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIA LOVEJOY Office Manager 802-863-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890000480) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |