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Contact Information

NANCY J DESRAULT, MSW LICSW
431 PINE STREET
THE MALTEX BLDG
BURLINGTON, VT05401
 Phone: 802-865-9873
 Fax: 802-865-9877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for NANCY J DESRAULT · (Female)

NPI # 1174666515
Status Active
Credentials MSW LICSW
Entity Individual
Enumeration date 02/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SW0063286
  • VT License # 0890000347
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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