Individual
EMMA LOUISE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
91 GREEN ST # 101, BRATTLEBORO, VT 05301-6329
(802) 777-8646
Mailing address
91 GREEN ST # 101, BRATTLEBORO, VT 05301-6329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890132429
VT
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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