Individual
STEPHANIE GRAUDONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4530
(802) 775-2381
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082305
NY
Other
Enumeration date
07/01/2011
Last updated
11/12/2012
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