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Individual

GYPSY MAY LEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
65 S MAIN ST, SUITE 1, WATERBURY, VT 05676-1550
(802) 498-8481
Mailing address
65 S MAIN ST, SUITE 1, WATERBURY, VT 05676-1550
(802) 498-8481

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0093942
VT

Other

Enumeration date
02/04/2014
Last updated
03/30/2017
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