Individual
MS. LISA F. EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
VA MEDICAL CTR, 215 NORTH MAIN STREET, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
PO BOX 991, WILDER, VT 05088-0991
(802) 295-9363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000765
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089-0000765
LICENSED SOCIAL WORK
VT
Enumeration date
10/25/2006
Last updated
07/08/2007
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