Individual
PATRICIA MICHELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
67 FAIRFIELD ST, SAINT ALBANS, VT 05478-1796
(802) 279-4283
Mailing address
250 PARK STREET, MORRISVILLE, VT 05661-8406
(802) 253-4144
(802) 888-8267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059398
BCBS
VT
05
—
1009584
—
VT
Enumeration date
08/09/2005
Last updated
04/04/2019
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