Individual
RHIANNON CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
087884
NY
1041C0700X
Clinical Social Worker
Primary
089-0134123
VT
Other
Enumeration date
04/08/2014
Last updated
04/19/2018
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