# MARY ANN DATTILO BOYD PLLC

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

## Provider details

- **NPI number:** 1568641496
- **Authorized official:** MS. MARY ANN DATTILO BOYD LICSW (PRESIDENT)
- **Authorized official phone:** (802) 349-6182

## Contact information

- **Practice address:** 135 S PLEASANT ST, MIDDLEBURY, VT 05753-4456
- **Practice address phone:** (802) 349-6182
- **Mailing address:** 135 S PLEASANT ST, MIDDLEBURY, VT 05753-4456
- **Mailing address phone:** (802) 349-6182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0890001058 | VT | Yes |

## Other

- **Enumeration date:** 10/27/2007
- **Last updated:** 01/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1011288 | — | VT |