Individual
JOYCE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
35 TIMBER LN, SOUTH BURLINGTON, VT 05403-5201
(802) 658-0886
Mailing address
316 S UNION ST, BURLINGTON, VT 05401-4517
(802) 658-4387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000031
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007388
—
VT
Enumeration date
02/11/2007
Last updated
07/08/2007
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