Individual
NANCY GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
255 N MAIN ST STE 7, BARRE, VT 05641-4145
(802) 479-1955
Mailing address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 621-3516
(603) 622-8101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.123308
VT
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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