| Gypsy Lew, Llc | |
|
2069 Blush Hill Rd Waterbury VT 05676-9277 | |
| (802) 498-8481 | |
| Not Available |
| Full Name | Gypsy Lew, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2069 Blush Hill Rd, Waterbury, Vermont |
| Authorized Official Name and Position | Gypsy M Lew (OWNER) |
| Authorized Official Contact | 8024988481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gypsy Lew, Llc 2069 Blush Hill Rd Waterbury VT 05676-9277 Ph: (802) 498-8481 | Gypsy Lew, Llc 2069 Blush Hill Rd Waterbury VT 05676-9277 Ph: (802) 498-8481 |
| NPI Number | 1124442959 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124442959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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