# JUDI DALY, LICSW PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538411640
- **Authorized official:** JUDITH C DALY LICSW (SOLE MEMBER)
- **Authorized official phone:** (802) 338-7377

## Contact information

- **Practice address:** 277 BLAIR PARK RD STE 210, WILLISTON, VT 05495-7885
- **Practice address phone:** (802) 264-5333
- **Mailing address:** PO BOX 731, WATERBURY, VT 05676-0731
- **Mailing address phone:** (802) 338-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089.0000186 | VT | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012