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Individual

MR. DAVID LEE BOEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3 MAIN ST, STE #216, BURLINGTON, VT 05401-5216
(802) 651-7501
(802) 860-1234
Mailing address
3 MAIN ST, STE #216, BURLINGTON, VT 05401-5216
(802) 651-7501
(802) 860-1234

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-017
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN0495
VT
Enumeration date
09/02/2006
Last updated
07/08/2007
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