Individual
ELLEN REPSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
312 ROCKYDALE RD, BRISTOL, VT 05443-5247
(802) 782-2426
Mailing address
312 ROCKYDALE RD, BRISTOL, VT 05443-5247
(802) 782-2426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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