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Individual

MS. VICTORIA L BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
320 MAIN ST, NORWICH, VT 05055-4418
(802) 299-0709
Mailing address
PO BOX 1, TAFTSVILLE, VT 05073-0001
(802) 299-0709
(513) 421-2437

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0106418
VT
1041C0700X
Clinical Social Worker
2027
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033454
VT
05
3109991
NH
01
T400412580
MEDICARE
NH
Enumeration date
06/27/2007
Last updated
11/16/2019
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