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Individual

MARIAH ELIZABETH MERRIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
78 S MAIN ST, RUTLAND, VT 05701-4591
(802) 775-1000
(802) 772-4757
Mailing address
PO BOX 222, RUTLAND, VT 05702-0222
(802) 775-1000
(802) 772-2757

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
089.0135740
VT
172V00000X
Community Health Worker

Other

Enumeration date
11/29/2023
Last updated
02/14/2025
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