Individual
MS. MAUREEN D BOGOSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADC
Contact information
Practice address
211 NORTH MAIN ST, WHITE RIVER, VT 05001
(603) 252-0936
Mailing address
BOX 474, WHITE RIVER, VT 05001
(802) 281-5213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104264
VT
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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