Individual
MS. MARCIA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
CHITTENDEN REGIONAL CORRECTIONAL FACILITY, 7 FARRELL STREET, SOUTH BURLINGTON, VT 05403
(802) 859-3213
Mailing address
31 FOREST ST, WINOOSKI, VT 05404-1905
(802) 655-3957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001000
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011060
—
VT
Enumeration date
07/13/2006
Last updated
07/08/2007
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