Individual
MELINDA J. KOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
097.0135170
VT
104100000X
Social Worker
124
NH
104100000X
Social Worker
224009
MA
1041C0700X
Clinical Social Worker
Primary
089.0136178
VT
Other
Enumeration date
08/30/2021
Last updated
10/17/2024
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