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Individual

COURTNEY MARIE GANDEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1 ELM ST, LUDLOW, VT 05149-1301
(802) 228-8867
Mailing address
1 ELM ST, LUDLOW, VT 05149-1301
(802) 228-8867

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0050499
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0134625
VT

Other

Enumeration date
08/03/2020
Last updated
11/15/2020
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