Individual
BRENDA EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
70 S WINOOSKI AVE, BURLINGTON, VT 05401-3898
(802) 865-3450
Mailing address
70 S WINOOSKI AVE, BURLINGTON, VT 05401-3898
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134467
VT
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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