Organization
MAURA NYDEGGER LICSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA NYDEGGER (MAURA NYDEGGER LICSW)
(802) 349-8579
Entity
Organization
Contact information
Practice address
199 MAIN ST UNIT C, SHOREHAM, VT 05770-8807
(802) 349-8579
Mailing address
199 MAIN ST UNIT C, SHOREHAM, VT 05770-8807
(802) 349-8579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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