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Individual

MS. ANN M FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMI C

Contact information

Practice address
90 MAHONEY AVE, RUTLAND, VT 05701
(802) 775-2581
(802) 775-3395
Mailing address
2837 MAIN ST, MANCHESTER CENTER, BENNINGTON, VT 05255
(802) 362-2334

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000500
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08049515
BCBS
VT
05
1007398
VT
01
75394
MVP
VT
Enumeration date
12/05/2006
Last updated
07/08/2007
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