Individual
REBECCA I DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
54 HARRIS PL, BRATTLEBORO, VT 05301-7127
(802) 258-0970
Mailing address
92 WARDON RD, PUTNEY, VT 05346-8980
(802) 387-2757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
068.0134940
VT
101Y00000X
Counselor
097.0129615
VT
Other
Enumeration date
05/02/2017
Last updated
12/06/2022
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