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Individual

LORI L. MACIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
390 RIVER ST., HCRS, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Mailing address
390 RIVER ST., HCRS, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
089.0072024
VT
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/30/2010
Last updated
12/13/2011
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