Woodruff, Myra Elaine

Woodruff, Myra Elaine is an sole proprietor health care provider with primary practice located at 3 Main St Suite 216, Burlington VT 05401-5216. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodruff, Myra Elaine can be contacted via phone (802) 651-2318.

Contact Information

Primary practice address
3 Main St Suite 216 Burlington VT 05401-5216
Fax: (801) 899-4880
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890000919 Vermont

Profile Details

NPI number 1346288909
LBN Legal business name Woodruff, Myra Elaine
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Feb 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346288909 NPPES
Vermont MEDICAID 1009230

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