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Individual

BRENDA CHRISTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW. LISCW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000969
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00059456
BCBS
VT
05
109774
VT
01
2182082
CIGNA
VT
01
410045
MVP
VT
Enumeration date
11/01/2006
Last updated
05/31/2012
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