Elisabeth Blair, LICSW
Social Worker, Clinical in Essex Junction, VT. Individual provider (NPI-1).
NPI number1558044032
StatusActive
Last updated in NPPESOct 1, 2023
Details
- NPI
- 1558044032
- Entity type
- Individual (NPI-1)
- Name
- Elisabeth Blair
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2023
- Certification date
- Oct 1, 2023
- Last updated
- Oct 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089.0135443 | VT | Yes |
Practice location
15 Brickyard RdEssex Junction, VT 05452-4443
Phone 208-863-4047
Mailing address
1045 E Shore RdIsle La Motte, VT 05463-9764
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