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Individual

MS. SUSAN MARIE SWEENEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201-1873
(802) 442-3520
(802) 447-3392
Mailing address
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201-1873
(802) 442-3520
(802) 447-3392

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470000656
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005823
VT
Enumeration date
08/14/2006
Last updated
07/18/2012
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