Individual
BONNIE L BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
297 SUMMER ST, ST JOHNSBURY, VT 05819
(802) 748-1682
(802) 748-0211
Mailing address
PO BOX 141, CONCORD, VT 05824
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000319
VT
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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