Individual
GWEN BOYNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
167 MAIN ST STE 207D, BRATTLEBORO, VT 05301-3057
(860) 459-9813
Mailing address
83 PINE ST, BRATTLEBORO, VT 05301-6495
(860) 459-9813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0081152
VT
Other
Enumeration date
01/16/2007
Last updated
12/03/2024
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