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Individual

MERCURY JUDSON RIPLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2091 MAIN STREET, CAVENDISH, VT 05142
(802) 342-6423
Mailing address
PO BOX 28, PROCTORSVILLE, VT 05153-0028
(803) 342-6423

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0064850
VT

Other

Enumeration date
07/29/2010
Last updated
07/29/2010
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