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Organization

WATER'S EDGE PSYCHOTHERAPY AND WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA WACKERMAN MSW (PARTNER)
(206) 963-4907
Entity
Organization

Contact information

Practice address
47 MAPLE ST, BURLINGTON, VT 05401-4861
(802) 651-7807
Mailing address
47 MAPLE ST STE 331, BURLINGTON, VT 05401-5097
(206) 963-4907
(802) 861-0010

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
VT
1041C0700X
Clinical Social Worker
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1006773
VT
05
1018888
VT
05
1285055376
VT
Enumeration date
12/17/2013
Last updated
02/25/2022
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