# MARJORIE R CROWE MSW CORP

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

## Provider details

- **NPI number:** 1871044982
- **Authorized official:** MARJORIE R CROWE MSW (OWNER)
- **Authorized official phone:** (802) 728-3018

## Contact information

- **Practice address:** 1 BELLE FRED DR, RANDOLPH, VT 05060-1301
- **Practice address phone:** (802) 728-3018
- **Mailing address:** 1 BELLE FRED DR, RANDOLPH, VT 05060-1301
- **Mailing address phone:** (802) 728-3018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0890000220 | VT | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 10/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007980 | — | VT |
