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Individual

MADISON E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 COLCHESTER AVE # 408, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE # 408, BURLINGTON, VT 05401-1473

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TC0700X
Clinical Psychologist
048.0134613
VT

Other

Enumeration date
06/25/2014
Last updated
12/08/2022
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