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Individual

MS. GRETCHEN HOLLY BAUMGARDNER X

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.I.C.S.W.

Contact information

Practice address
58 COLLEGE ST, #1, MONTPELIER, VT 05602-3115
(802) 229-2562
Mailing address
45 STATE ST., P.O. BOX 2100, MONTPELIER, VT 05601-2100
(802) 229-2562

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000874
VT
1041S0200X
School Social Worker
0890000874
VT
171M00000X
Case Manager/Care Coordinator
0890000874
VT

Other

Enumeration date
09/04/2007
Last updated
09/04/2007
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