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Individual

STEPHANIE L CHURCHILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
231 CONCORD AVE, ST JOHNSBURY, VT 05819-1513
(802) 748-5364
(802) 748-7289
Mailing address
231 CONCORD AVE, ST JOHNSBURY, VT 05819-1513
(802) 748-5364

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1000000044
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012018
VT
Enumeration date
04/25/2006
Last updated
07/09/2007
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