Individual
SUSAN HANEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1341 TUCKER MOUNTAIN RD, NEWBURY, VT 05051-9668
(802) 356-6565
Mailing address
PO BOX 81, WEST NEWBURY, VT 05085-0081
(802) 429-2876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000346
VT
Other
Enumeration date
09/26/2007
Last updated
02/17/2022
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