Individual
NANCY J DESRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
431 PINE STREET, THE MALTEX BLDG, BURLINGTON, VT 05401
(802) 865-9873
(802) 865-9877
Mailing address
431 PINE STREET, THE MALTEX BLDG, BURLINGTON, VT 05401
(802) 865-9873
(802) 865-9877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000347
VT
1041C0700X
Clinical Social Worker
SW0063286
PA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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