Individual
MAURA NYDEGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MSW
Contact information
Practice address
199 MAIN ST UNIT C, SHOREHAM, VT 05770-8807
(802) 349-8579
Mailing address
199 MAIN ST UNIT C, SHOREHAM, VT 05770-8807
(802) 349-8579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0095256
VT
Other
Enumeration date
12/04/2018
Last updated
12/06/2021
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