Individual
MS. ELIZABETH JEAN ROMEKA-PLUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
212 MAIN STREET, POULTNEY, VT 05764
(802) 353-7256
Mailing address
73 HIGH ST., PROCTOR, VT 05765
(802) 353-7256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000 243
VT
1041C0700X
Clinical Social Worker
089-0000243
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11304678
CAQH
VT
05
—
ID1014360
—
VT
Enumeration date
10/16/2007
Last updated
09/06/2012
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