Individual
STACY PODETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 AIRPORT RD, S BURLINGTON, VT 05403-6432
(802) 658-0040
(802) 658-0216
Mailing address
30 AIRPORT RD, S BURLINGTON, VT 05403-6432
(802) 658-0040
(802) 658-0216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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