Organization
MATT MACAULAY LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MACAULAY MACAULAY LICSW (OWNER)
(802) 294-2983
Entity
Organization
Contact information
Practice address
5 BANK ST, NORTH BENNINGTON, VT 05257-9102
(802) 294-2983
Mailing address
5 BANK ST, NORTH BENNINGTON, VT 05257-9102
(802) 294-2983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/14/2023
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