Mary Ann Dattilo Boyd Pllc | |
135 S Pleasant St Middlebury VT 05753-4456 | |
(802) 349-6182 | |
Not Available |
Full Name | Mary Ann Dattilo Boyd Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 135 S Pleasant St, Middlebury, Vermont |
Authorized Official Name and Position | Mary Ann Dattilo Boyd (PRESIDENT) |
Authorized Official Contact | 8023496182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mary Ann Dattilo Boyd Pllc 135 S Pleasant St Middlebury VT 05753-4456 Ph: (802) 349-6182 | Mary Ann Dattilo Boyd Pllc 135 S Pleasant St Middlebury VT 05753-4456 Ph: (802) 349-6182 |
NPI Number | 1568641496 |
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Provider Enumeration Date | 10/27/2007 |
Last Update Date | 01/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568641496 | NPI | - | NPPES |
1011288 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0890001058 (Vermont) | Primary |
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