Individual
BRYAN WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
123 MEADOW DR, COLCHESTER, VT 05446-6422
(734) 678-2368
Mailing address
123 MEADOW DR, COLCHESTER, VT 05446-6422
(734) 678-2368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0103764
VT
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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