Individual
DR. MARJORIE C. LAROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
160 BENMONT AVE, SUITE 28, BENNINGTON, VT 05201-1873
(802) 442-2800
Mailing address
160 BENMONT AVE, SUITE 28, BENNINGTON, VT 05201-1873
(802) 442-2800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
009317
NY
103TC0700X
Clinical Psychologist
Primary
048-0000511
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0107
—
VT
01
—
T002472
TRICARE
—
Enumeration date
02/07/2007
Last updated
07/08/2007
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