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Individual

BETSY A FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001080
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011990
VT
05
3074593
NH
Enumeration date
04/25/2006
Last updated
08/19/2025
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