| Judi Daly, Licsw Pllc | |
|
277 Blair Park Rd Ste 210 Williston VT 05495-7885 | |
| (802) 264-5333 | |
| Not Available |
| Full Name | Judi Daly, Licsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 277 Blair Park Rd Ste 210, Williston, Vermont |
| Authorized Official Name and Position | Judith C Daly (SOLE MEMBER) |
| Authorized Official Contact | 8023387377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judi Daly, Licsw Pllc Po Box 731 Waterbury VT 05676-0731 Ph: (802) 338-7377 | Judi Daly, Licsw Pllc 277 Blair Park Rd Ste 210 Williston VT 05495-7885 Ph: (802) 264-5333 |
| NPI Number | 1538411640 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Medicare PECOS PAC ID | 2860646767 |
|---|---|
| Medicare Enrollment ID | O20130130000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538411640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0000186 (Vermont) | Primary |
| Provider Name | Judith C Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295085546 PECOS PAC ID: 8921252834 Enrollment ID: I20130130000357 |
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