Individual
ASA WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
532 POTTER HILL RD, READSBORO, VT 05350
(802) 681-6588
Mailing address
46 DUFFY DR, BENNINGTON, VT 05201-9585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0118330
VT
Other
Enumeration date
08/15/2018
Last updated
08/09/2024
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