Individual
TERRENCE M HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 658-0400
Mailing address
66 PADDOCK LN, WILLISTON, VT 05495-9441
(802) 879-2512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000172
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007280
—
VT
Enumeration date
06/20/2006
Last updated
06/16/2009
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