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Contact Information

DEBRA K WUCIK, LADC
100 HOSPITALITY DRIVE
BERLIN, VT05602
 Phone: 802-223-4156
 Fax: 802-223-4332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DEBRA K WUCIK · (Female)

NPI # 1063781649
Status Active
Credentials LADC
Entity Individual
Enumeration date 12/28/2011
Last updated 12/28/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 000558
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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