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Individual

MEGAN MARIE TROXELL BEIDLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2458 CHRISTIAN ST STE 214, WHITE RIVER JUNCTION, VT 05001-9888
(903) 258-7805
Mailing address
PO BOX 842, WILDER, VT 05088-0842
(903) 258-7805

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134156
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1036038
VT
05
3118761
NH
Enumeration date
12/29/2018
Last updated
06/25/2021
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