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Individual

CHRISTIE EVERETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
11 N MAIN ST, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 728-4197
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 728-4197

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0069446
VT

Other

Enumeration date
03/15/2013
Last updated
03/15/2013
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