Organization
AMY BREESE, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BREESE LICSW (PROVIDER)
(518) 469-8704
Entity
Organization
Contact information
Practice address
937 GAGE ST, BENNINGTON, VT 05201-2069
(518) 469-8704
Mailing address
937 GAGE ST, BENNINGTON, VT 05201-2069
(518) 469-8704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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