Individual
REBECCA SHERLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000258
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009908
—
VT
01
—
9527
BCBS OF VT
VT
Enumeration date
12/29/2006
Last updated
07/25/2018
Update your record
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