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BRUCE A BROWN M.S.W.

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1245448356

Individual Registrant:
 BRUCE A BROWN M.S.W.
Gender: M
Sole Proprietor

Location and contact information for practice:
34 PATCHEN RD  S BURLINGTON, VT 05403-5704 US
Tel: 802-658-4208  Fax: 802-658-2234

Contact information for business:
131 SOUTH ST  ESSEX JCT, VT 05452-3546 US
Tel: 802-760-9427  Fax: --

Registration Information:
NPI: 1245448356
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
VT000306
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
VT089-0000555

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0VN 1840VT05




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