Individual
MS. DALENE M WASHBURN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
32 PLEASANT ST, VERMONT CHILDREN'S AID SOCIETY, SIMMONS BUILDING, WOODSTOCK, VT 05091-1122
(802) 457-3084
(802) 457-3086
Mailing address
32 PLEASANT ST, VERMONT CHILDREN'S AID SOCIETY, SIMMONS BUILDING, WOODSTOCK, VT 05091-1122
(802) 457-3084
(802) 457-3086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000386
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006819
—
VT
01
—
18947
BLUE CROSS BLUE SHIELD
—
01
—
2017823
CIGNA BEHAVIORAL HEALTH
—
05
—
30420716
—
NH
01
—
381295
MVP HEALTH INSURANCE
VT
Enumeration date
04/12/2006
Last updated
07/08/2007
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