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Individual
MS. JOAN KUNDIN DOUBLEDAY
Active
Individual
MS. JOAN KUNDIN DOUBLEDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
181
VT
101YM0800X
Mental Health Counselor
Primary
239
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010107
—
VT
01
—
181
LICENSE #
VT
01
—
239
LICENSE #
NH
05
—
30007245
—
NH
01
—
DOUB09984
BC/BS OF VT ID#
VT
Enumeration date
10/13/2006
Last updated
07/08/2007
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