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Individual

MRS. ROSEMARIE STACKHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
267 PEARL ST STE 10, BURLINGTON, VT 05401-8543
(802) 488-4612
Mailing address
267 PEARL ST STE 10, BURLINGTON, VT 05401-8543
(802) 488-4612

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135533
VT

Other

Enumeration date
09/26/2023
Last updated
09/26/2023
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