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Individual

MS. SUSAN WRIGHT STAFURSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
155 BELMONT AVE, BRATTLEBORO, VT 05301-6653
(802) 257-9158
Mailing address
155 BELMONT AVE, BRATTLEBORO, VT 05301-6653
(802) 257-9158

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1331
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
812633595
NH
Enumeration date
08/31/2006
Last updated
05/13/2011
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