Individual
ELISABETH BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 BRICKYARD RD, ESSEX JUNCTION, VT 05452-4443
(208) 863-4047
Mailing address
1045 E SHORE RD, ISLE LA MOTTE, VT 05463-9764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135443
VT
Other
Enumeration date
08/10/2023
Last updated
10/01/2023
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