Individual
STACY JUNE WAYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4628 MAIN STREET, NEWBURY, VT 05051-9172
(802) 222-3000
Mailing address
4628 MAIN STREET, PO BOX 8, NEWBURY, VT 05051-9172
(802) 222-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135588
VT
1041C0700X
Clinical Social Worker
3184
NH
Other
Enumeration date
01/02/2024
Last updated
07/28/2025
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