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Individual

MIRIAM JUDITH VORAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
79 MAIN ST, MONTPELIER, VT 05602-2955
(802) 223-2134
Mailing address
19 CRAFTS AVE, WEST LEBANON, NH 03784-1105
(603) 298-5485

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000655
VT
103TC0700X
Clinical Psychologist
798
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06239108
BLUECROSS AND BLUE SHIELD
VT
05
OVN2194
VT
Enumeration date
06/08/2006
Last updated
07/08/2007
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