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Individual
MRS. ANNELISE ULRICH
Active
Individual
MRS. ANNELISE ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
089-00509
VT
1041C0700X
Clinical Social Worker
Primary
0890058105
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016818
—
VT
Enumeration date
09/14/2009
Last updated
08/12/2015
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