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Individual

SANDY STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DCN, MT

Contact information

Practice address
160 BENMONT AVE FL WING2, BENNINGTON, VT 05201-1873
(802) 379-4159
Mailing address
311 WASHINGTON AVE, BENNINGTON, VT 05201-2362
(802) 379-4159

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
225700000X
Massage Therapist
VT

Other

Enumeration date
01/23/2022
Last updated
01/23/2022
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