Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 0890105044 | VT |
NPI | 1003215690 |
---|---|
Provider Name | Lorene Zeif |
First Address | Manchester Center, VT 05255-2414 |
Second Address | Manchester Center, VT 05255-9639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2014 |
Last Update Date | 19/08/2014 |