Individual
MAUREEN MATTHEWS MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
655 MAIN ST., BENNINGTON, VT 05201
(802) 447-4811
Mailing address
457 ROLLIN RD., N. BENNINGTON, VT 01527
(802) 442-4426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000090
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18287
BC/BS
VT
01
—
2025496
CIGNA
VT
01
—
350642
MVP
VT
05
—
OVN2179
—
VT
Enumeration date
09/29/2006
Last updated
07/08/2007
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