Individual
MARY ANN DATTILO BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
135 S PLEASANT ST, MIDDLEBURY, VT 05753-1479
(802) 349-6182
Mailing address
459 LOWER NOTCH RD, BRISTOL, VT 05443-5210
(802) 349-6182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001058
VT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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