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Individual

MR. FELIPE STETSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
120 ELM ST, SUITE 2, BENNINGTON, VT 05201-2865
(802) 733-1827
Mailing address
120 ELM ST, SUITE 2, BENNINGTON, VT 05201-2865
(802) 733-1827

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001151
VT
1041C0700X
Clinical Social Worker
113601
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013096
VT
Enumeration date
09/26/2006
Last updated
07/25/2012
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