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Individual

MARIA T D'HAENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
297 N MAIN ST, SUITE 3, BARRE, VT 05641-4503
(802) 371-9479
Mailing address
535 CUTLER CORNER RD, BARRE, VT 05641-9772
(802) 371-9479

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000762
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00059708
BC/BS OF VT
VT
05
1010098
VT
01
2174788
CIGNA
VT
01
360275
TRICARE
VT
01
989026C
MVP HEALTHCARE
VT
Enumeration date
09/16/2006
Last updated
04/01/2014
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