Organization
LISA C ERWIN LICSW PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA CHRETIEN ERWIN LICSW (OWNER)
(802) 873-3542
Entity
Organization
Contact information
Practice address
316 MAIN ST, SUITE 206, NEWPORT, VT 05855-5530
(802) 673-1029
Mailing address
PO BOX 1177, DERBY LINE, VT 05830-1177
(802) 873-3542
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
089.0110618
VT
Other
Enumeration date
02/26/2017
Last updated
02/26/2017
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