Individual
MS. BREANNA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
089.0119572
VT
1041C0700X
Clinical Social Worker
Primary
089.0119572
VT
Other
Enumeration date
07/15/2014
Last updated
01/08/2025
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