Organization
MICHAEL JOYCE, LICSW. PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOYCE LICSW (SOLE MEMBER)
(802) 264-5333
Entity
Organization
Contact information
Practice address
525 HERCULES DR, SUITE 1A, COLCHESTER, VT 05446-5993
(802) 264-5333
(802) 264-5338
Mailing address
PO BOX 392, COLCHESTER, VT 05446-0392
(802) 264-5333
(802) 264-5338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000718
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021066
—
VT
Enumeration date
10/19/2012
Last updated
10/19/2012
Update your record
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