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Individual

LISBETH A DODD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
79 MAIN ST, SUITE 2, MONTPELIER, VT 05602-3173
(802) 224-1033
Mailing address
14 COLLEGE ST, MONTPELIER, VT 05602-3633
(802) 224-1033

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000824
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010043
VT
01
1060830
CIGNA BEHAVIORAL HEALTH
01
1432750
COVENTRY HEALTH CARE
VT
01
39952
BLUE CROSS BLUE SHIELD
VT
01
410723
TRICARE
01
576753
VALUE OPTIONS
Enumeration date
09/24/2006
Last updated
06/12/2011
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