Individual
MICHELE ANN BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
8064708
VT
172V00000X
Community Health Worker
8064708
VT
Other
Enumeration date
05/16/2024
Last updated
10/30/2024
Update your record
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