Individual
LISA ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
316 MAIN ST, SUITE 206, NEWPORT, VT 05855-5530
(802) 487-4597
Mailing address
PO BOX 1177, DERBY LINE, VT 05830-1177
(802) 487-4597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0110618
VT
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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