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Individual

CHRISTINE E PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
286 HOSPITAL LOOP, BERLIN, VT 05602-9523
(802) 229-0591
(802) 223-3667
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 229-0591
(802) 223-3667

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001224
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014625
VT
01
1164600649
BLUE CROSS/BLUE SHIELD OF VERMONT
VT
01
2667970
CIGNA
01
415782
TRICARE
01
989026C
MVP
VT
Enumeration date
02/06/2008
Last updated
03/29/2010
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