Individual
ALICIA R HANIFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 MAIN ST RM 19, MONTPELIER, VT 05602-2944
(413) 847-1571
Mailing address
73 MAIN ST. SUITE 19, MONTPELIER, VT 05602-2932
(413) 847-1571
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
120056
VT
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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