Individual
ASHLEY MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4995 SILVER ST, MONKTON, VT 05469-0546
(802) 734-5864
Mailing address
4995 SILVER ST, HINESBURG, VT 05461-9487
(802) 734-5864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134391
VT
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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