Individual
MS. SAMANTHA BULEY MEDVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
530 WASHINGTON HWY, SUITE 12, MORRISVILLE, VT 05661-8715
(802) 888-7266
(802) 888-3081
Mailing address
530 WASHINGTON HWY, SUITE 12, MORRISVILLE, VT 05661-8715
(802) 888-7266
(802) 888-3081
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
089-0058237
VT
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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