Individual
MS. DEBORAH E. BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
128 MERCHANTS ROW STE 510, RUTLAND, VT 05701
(802) 855-8260
Mailing address
2568 LINCOLN HILL RD, SHREWSBURY, VT 05738-9645
(802) 681-8548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0079450
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03967782
—
NY
05
—
1020156
—
VT
Enumeration date
01/17/2012
Last updated
10/31/2018
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