| Susan P Hanewald | |
|
1341 Tucker Mountain Rd Newbury VT 05051-9668 | |
| (802) 356-6565 | |
| Not Available |
| Full Name | Susan P Hanewald |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1341 Tucker Mountain Rd, Newbury, Vermont |
| Authorized Official Name and Position | Susan P. Hanewald (PROVIDER) |
| Authorized Official Contact | 8023566565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan P Hanewald Po Box 81 West Newbury VT 05085-0081 Ph: (802) 356-6565 | Susan P Hanewald 1341 Tucker Mountain Rd Newbury VT 05051-9668 Ph: (802) 356-6565 |
| NPI Number | 1669126652 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669126652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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