Individual
MS. LINDA DEARSTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 FORT HILL RD, PUTNEY, VT 05346-8748
(802) 387-4281
Mailing address
60 FORT HILL RD, PUTNEY, VT 05346-8748
(802) 387-4281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000281
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080-19499
BLUE CROSS-BLUE SHEILD
VT
05
—
1006834
—
VT
01
—
61299
MVP
VT
Enumeration date
05/17/2006
Last updated
09/09/2008
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