Individual
LEE CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000482
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029836
BC/BS OF VERMONT
VT
05
—
1007325
—
VT
01
—
2078940
CIGNA
VT
01
—
360274
TRICARE
VT
01
—
989026C
MVP HEALTHCARE
VT
Enumeration date
07/19/2006
Last updated
04/06/2010
Update your record
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