Individual
JACQUELINE M EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4594
(802) 775-8224
(802) 747-7699
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4594
(802) 775-8224
(802) 747-7699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890134209
VT
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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