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Individual

MARIA THERESIA CROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
615 E MAIN ST, NEWPORT, VT 05855-5829
(603) 627-3111
Mailing address
371 MEMPHREMAGOG VW, NEWPORT, VT 05855-4927
(603) 204-7377

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0134157
VT
1041C0700X
Clinical Social Worker
Primary
2014
NH
1041C0700X
Clinical Social Worker
C008948
NC

Other

Enumeration date
06/17/2012
Last updated
03/18/2019
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