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Individual

REBECCA CARLSEN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
516 WEYBRIDGE ST, MIDDLEBURY, VT 05753-1068
(941) 773-4846
Mailing address
516 WEYBRIDGE ST, MIDDLEBURY, VT 05753-1068
(941) 773-4846

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0135584
VT
1041C0700X
Clinical Social Worker
11391-C
AR
1041C0700X
Clinical Social Worker
174787
AK
1041C0700X
Clinical Social Worker
19806
AZ
1041C0700X
Clinical Social Worker
34009514A
IN
1041C0700X
Clinical Social Worker
4692C
AL
1041C0700X
Clinical Social Worker
7695
TN
1041C0700X
Clinical Social Worker
C-12051
NM
1041C0700X
Clinical Social Worker
C014073
NC
1041C0700X
Clinical Social Worker
C1066
MS
1041C0700X
Clinical Social Worker
CW021824
PA
1041C0700X
Clinical Social Worker
Primary
SW16527
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
089.0135584
STATE LICENSE
VT
01
11391-C
STATE LICENSE
AR
01
174787
STATE LICENSE
AK
01
19806
STATE LICENSE
AZ
01
34009514A
STATE LICENSE
IN
01
4692C
STATE LICENSE
AL
01
7695
STATE LICENSE
TN
01
C-12051
STATE LICENSE
NM
01
C014073
STATE LICENSE
NC
01
C1066
STATE LICENSE
MS
01
CW021824
STATE LICENSE
PA
01
SW16527
STATE LICENSE
FL
Enumeration date
07/24/2019
Last updated
11/02/2023
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