Individual
MS. SANDRA W. BIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12 BAKER FARM RD, MANCHESTER, VT 05254
(802) 430-8470
(802) 430-8470
Mailing address
PO BOX 494, PERU, VT 05152-0494
(802) 430-8470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001277
VT
Other
Enumeration date
07/17/2009
Last updated
10/12/2016
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