Individual
EVAN T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
130 FISHER RD UNIT 1, BERLIN, VT 05602-8132
(802) 371-4100
Mailing address
PO BOX 547, BARRE, VT 05641-0547
(802) 371-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0060670
VT
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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