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Individual

TRUDEE ETTLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., APRN, LADC

Contact information

Practice address
162 HEGEMAN AVE STE 100, COLCHESTER, VT 05446-3109
(802) 661-4376
Mailing address
162 HEGEMAN AVE STE 100, COLCHESTER, VT 05446-3109
(802) 661-4376

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0126250
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0009090
VT

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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