Individual
MS. PATRICIA WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
166 BATTERY ST, BURLINGTON, VT 05401-5283
(802) 922-2651
Mailing address
69 JOY DR APT A1, SOUTH BURLINGTON, VT 05403-6120
(802) 922-2651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000589
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007335
—
VT
Enumeration date
01/14/2007
Last updated
07/09/2007
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