Organization
MARJORIE R CROWE MSW CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE R CROWE MSW (OWNER)
(802) 728-3018
Entity
Organization
Contact information
Practice address
1 BELLE FRED DR, RANDOLPH, VT 05060-1301
(802) 728-3018
Mailing address
1 BELLE FRED DR, RANDOLPH, VT 05060-1301
(802) 728-3018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000220
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007980
—
VT
Enumeration date
10/24/2016
Last updated
10/24/2016
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