Individual
MARGOT EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
154 DUCHESS AVE, NEWPORT, VT 05855-5516
(802) 334-6744
(802) 334-7455
Mailing address
2606 S ALBANY RD, CRAFTSBURY COMMON, VT 05827-9762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
068-0000597
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009108
—
VT
Enumeration date
01/17/2007
Last updated
07/08/2007
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