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Individual

MS. JEANNE ANTHONY HOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
79 SO. WINDSOR ST ON THE GREEN, SO. ROYALTON, VT 05068-0621
(802) 763-2121
Mailing address
PO BOX 621, SOUTH ROYALTON, VT 05068-0621
(802) 763-2121

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080-0000209
VT
1041C0700X
Clinical Social Worker
382
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053973000
MAGELLAN BEHAVIORAL HEALT
NJ
05
1007146
VT
01
1088369
CIGNA BEHAVIORAL HEALTH
MN
01
9322
BLUE CROSS/BLUE SHIELD
VT
Enumeration date
10/13/2006
Last updated
01/06/2016
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