Individual
AMY BREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
937 GAGE ST, BENNINGTON, VT 05201-2069
(518) 469-8704
Mailing address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
089.0129453
VT
374J00000X
Doula
—
NY
Other
Enumeration date
03/25/2010
Last updated
03/28/2021
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