Individual
MARY ELIZABETH MISAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LMSW LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
097.0134691
VT
1041C0700X
Clinical Social Worker
Primary
089.0134621
VT
1041C0700X
Clinical Social Worker
156.0133903
VT
Other
Enumeration date
01/14/2020
Last updated
06/27/2022
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