Individual
MS. JILL G NEITLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
35 FAIRVIEW RD, WARDSBORO, VT 05355
(802) 896-6271
Mailing address
35 FAIRVIEW RD, WARDSBORO, VT 05355
(802) 896-6271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0890000600
VT
104100000X
Social Worker
107840
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38897
BLUE CROSS BLUE SHIELD VT
VT
05
—
OVN2189
—
VT
Enumeration date
02/13/2007
Last updated
07/08/2007
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