# NANCY B BIRGE, LICSW, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dothan Brook Associates, Counseling & Consultation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285077719
- **Authorized official:** NANCY B BIRGE MSW (OWNER)
- **Authorized official phone:** (802) 291-3907

## Contact information

- **Practice address:** 2458 CHRISTIAN ST, SUITE 214, WHITE RIVER JUNCTION, VT 05001-9855
- **Practice address phone:** (802) 356-9393
- **Mailing address:** PO BOX 842, WILDER, VT 05088-0842
- **Mailing address phone:** (802) 356-9393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0890001253 | VT | Yes |

## Other

- **Enumeration date:** 04/15/2013
- **Last updated:** 04/15/2013