Individual
SUSAN D WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
229 WESTERN AVE, BRATTLEBORO, VT 05301-6589
(802) 242-8896
Mailing address
145 PINE HAVEN SHORES RD STE 1000A, SHELBURNE, VT 05482-7812
(413) 489-2233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135462
VT
1041C0700X
Clinical Social Worker
LCSW226609
MA
Other
Enumeration date
06/20/2020
Last updated
11/15/2023
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