Individual
LAURA BUDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
(802) 442-4910
Mailing address
PO BOX 588, BENNINGTON, VT 05201-0588
(802) 442-5491
(802) 442-4910
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
089-0000690
VT
104100000X
Social Worker
Primary
089-0000690
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008714
—
VT
01
—
2064886
CIGNA
—
01
—
39706
BLUE CROSS
—
Enumeration date
07/23/2006
Last updated
03/21/2008
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