Individual
BRANDY BENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 WOODLAND DR, RUTLAND, VT 05701-4629
(802) 770-4370
Mailing address
1 WOODLAND DR, RUTLAND, VT 05701-4629
(802) 770-4370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0126825
VT
Other
Enumeration date
09/17/2019
Last updated
08/23/2023
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