Individual
DAVID GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4594
(802) 417-9048
Mailing address
PO BOX 222, RUTLAND, VT 05702-0222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/29/2023
Last updated
10/10/2024
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