Individual
MR. CHARLES A BISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
74 MUNSILL AVE STE 100, BRISTOL, VT 05443-1047
(802) 453-5028
Mailing address
74 MUNSILL AVE STE 100, BRISTOL, VT 05443-1047
(802) 453-5028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0000107
VT
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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