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Individual

MS. MAREKA OHLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
126 MAIN ST, PUTNEY, VT 05346-0464
(802) 387-5060
Mailing address
PO BOX 464, 126 MAIN ST, PUTNEY, VT 05346-0464
(802) 387-5060

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000091
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5529
BC BS
05
OVN0172
VT
Enumeration date
10/27/2006
Last updated
07/08/2007
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