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Contact Information

DEBORAH E BOSTON, LICSW
128 MERCHANTS ROW STE 510
RUTLAND, VT05701
 Phone: 802-855-8260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DEBORAH E BOSTON · (Female)

NPI # 1528339959
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 01/17/2012
Last updated 10/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 089.0079450
  • NY Medicaid 03967782
  • VT Medicaid 1020156
Hospital affiliation(s)
  • RUTLAND REGIONAL MEDICAL CENTER - (Acute Care)
    160 ALLEN ST
    RUTLAND, VT 05701
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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