Individual
MS. JILL LORRAINE ENTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5 CEDAR CT, SOUTH BURLINGTON, VT 05403-6903
(802) 233-0653
(802) 879-5335
Mailing address
5 CEDAR CT, SOUTH BURLINGTON, VT 05403-6903
(802) 233-0653
(802) 879-5335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000847
VT
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58714
BLUE CROSS BS VT
—
05
—
OVN2837
—
VT
Enumeration date
07/16/2006
Last updated
09/15/2023
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