Individual
LUCAS PEASE ZITTERKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
145 STEARNS DR, BETHEL, VT 05032-9218
(802) 871-9859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0127086
VT
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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