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STACY PODETZ

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1932433729

Individual Registrant:
 STACY  PODETZ 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
30 AIRPORT RD  S BURLINGTON, VT 05403-6432 US
Tel: 802-658-0040  Fax: 802-658-0216

Contact information for business:
30 AIRPORT RD  S BURLINGTON, VT 05403-6432 US
Tel: 802-658-0040  Fax: 802-658-0216

Registration Information:
NPI: 1932433729
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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