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Individual

DR. VIRGINIA M. MACDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
321 MAIN ST STE B, WINOOSKI, VT 05404-1380
(802) 338-6374
Mailing address
134 RICHFIELD LN, COLCHESTER, VT 05446-9625
(802) 338-6374

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0000572
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN0549
VT
Enumeration date
03/04/2007
Last updated
12/30/2021
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