Individual
GINA M WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
390 RIVER STREET, SPRINGFIELD, VT 05156
(802) 886-4500
(802) 886-4520
Mailing address
390 RIVER STREET, SPRINGFIELD, VT 05156
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001212
VT
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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