Organization
LICIA BERRY-BERARD, MSW, LICSW LLC
Active
Other names
Licia Berry-Berard, MSW, LICSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LICIA LANE BERRY-BERARD MSW, LICSW (OWNER)
(802) 698-2246
Entity
Organization
Contact information
Practice address
321 ROUTE 113, THETFORD, VT 05054
(802) 565-0424
Mailing address
PO BOX 44, NORTH THETFORD, VT 05054-0044
(802) 698-2246
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/03/2023
Last updated
01/02/2024
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