Individual
MARY RUTH MAGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACP,LADC
Contact information
Practice address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 747-3588
(802) 775-7196
Mailing address
339 KNIPES DR, CLARENDON, VT 05759
(802) 775-1601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000155
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049582
BCBS
VT
Enumeration date
11/09/2006
Last updated
07/08/2007
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