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Individual
STEPHANY M CHURCHILL
Active
Individual
STEPHANY M CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134421
VT
101YP2500X
Professional Counselor
097.0134397
VT
Other
Enumeration date
03/20/2019
Last updated
12/30/2021
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