Individual
KAREN EJERIEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
(802) 442-3363
Mailing address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
089-0073322
VT
1041C0700X
Clinical Social Worker
Primary
089-0073322
VT
Other
Enumeration date
10/21/2008
Last updated
12/08/2015
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