Individual
GWYNN YANDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LICSW
Contact information
Practice address
21 ROBIN WAY, BRATTLEBORO, VT 05301-4277
(802) 257-0074
Mailing address
21 ROBIN WAY, BRATTLEBORO, VT 05301-4277
(802) 257-0074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0000519
VT
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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