Individual
LISA CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
64 ALLEN ST, RUTLAND, VT 05701-4554
(802) 775-4774
Mailing address
64 ALLEN ST, RUTLAND, VT 05701-4554
(802) 775-4774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000777
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010911
—
VT
Enumeration date
03/07/2007
Last updated
07/09/2007
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