Organization
JUDI DALY, LICSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH C DALY LICSW (SOLE MEMBER)
(802) 338-7377
Entity
Organization
Contact information
Practice address
277 BLAIR PARK RD STE 210, WILLISTON, VT 05495-7885
(802) 264-5333
Mailing address
PO BOX 731, WATERBURY, VT 05676-0731
(802) 338-7377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0000186
VT
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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