Individual
MARTHA MOSCRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Mailing address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000395
VT
1041C0700X
Clinical Social Worker
068-0000395
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068-0000395
LICENSE
VT
Enumeration date
09/06/2006
Last updated
03/17/2009
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