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Individual

ELIZABETH RENEHAN SKOGLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
4697 MAIN ST FL 1, MANCHESTER CENTER, VT 05255-8945
(802) 949-0726
Mailing address
PO BOX 561, DORSET, VT 05251-0561
(802) 949-0726

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
3483
CT
101YM0800X
Mental Health Counselor
Primary
068.0134405
VT

Other

Enumeration date
01/10/2019
Last updated
09/12/2022
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