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Organization
MARY ANN DATTILO BOYD PLLC
Active
Organization
MARY ANN DATTILO BOYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN DATTILO BOYD LICSW (PRESIDENT)
(802) 349-6182
Entity
Organization
Contact information
Practice address
135 S PLEASANT ST, MIDDLEBURY, VT 05753-4456
(802) 349-6182
Mailing address
135 S PLEASANT ST, MIDDLEBURY, VT 05753-4456
(802) 349-6182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001058
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011288
—
VT
Enumeration date
10/27/2007
Last updated
01/05/2011
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