Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 0890000711 | VT |
NPI | 1003145772 |
---|---|
Provider Name | Margaret B Shelby |
First Address | Brattleboro, VT 05301-6220 |
Second Address | Brattleboro, VT 05301-6220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 09/12/2009 |