Individual
JUDITH A STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
441 W RIVER RD, SUITE # 3 SOUTH, BRATTLEBORO, VT 05301-9006
(802) 275-7087
Mailing address
PO BOX 14, WILLIAMSVILLE, VT 05362-0014
(802) 257-7355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001101
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012178
—
VT
Enumeration date
07/27/2006
Last updated
10/01/2013
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