Individual
BROOKE J WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
(802) 773-4578
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 855-2027
(802) 855-2053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001202
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014090
—
VT
Enumeration date
09/10/2007
Last updated
08/12/2015
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