Search › Vermont › 1041C0700X
Drift Mavyn, MSW, LICSW
NPI 1316683758 · on the registry since 2022 · sole proprietor
Practice
- Address
- 74 Grafton Rd.
Townshend, VT 05353 - Phone
- (802) 321-5066
- Fax
- (802) 210-3972
- Organisation at this address
- Drift Mavyn Licsw Llc
West River Family DentalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 126 Brookline Rd, Athens, VT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont