Organization
SUSAN P HANEWALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN P. HANEWALD LICSW (PROVIDER)
(802) 356-6565
Entity
Organization
Contact information
Practice address
1341 TUCKER MOUNTAIN RD, NEWBURY, VT 05051-9668
(802) 356-6565
Mailing address
PO BOX 81, WEST NEWBURY, VT 05085-0081
(802) 356-6565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/17/2022
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