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Individual

MS. SUZANNE H LYNAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
209 AUSTINE DR, BUSINESS OFFICE, BRATTLEBORO, VT 05301-6634
(802) 258-9500
(802) 258-9574
Mailing address
209 AUSTINE DR, BUSINESS OFFICE, BRATTLEBORO, VT 05301-6634
(802) 258-9500
(802) 258-9574

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001186
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041C0700X
VT
Enumeration date
06/15/2009
Last updated
06/15/2009
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