Individual
JODY A TROMBETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-4388
(802) 775-3307
Mailing address
78 FIELD AVE, RUTLAND, VT 05701-2313
(802) 775-6665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000348
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029289
BC/BS
VT
05
—
0VN0700
—
VT
Enumeration date
10/17/2006
Last updated
07/08/2007
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