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Individual

BRUCE A BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
34 PATCHEN RD, S BURLINGTON, VT 05403-5704
(802) 658-4208
(802) 658-2234
Mailing address
131 SOUTH ST, ESSEX JCT, VT 05452-3546
(802) 760-9427

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000306
VT
1041C0700X
Clinical Social Worker
Primary
089-0000555
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN 1840
VT
Enumeration date
05/21/2007
Last updated
05/10/2010
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