KILLY BASCOM, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1366687006
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 089.0087148 (VT) |
Frequently Asked Questions
NPI 1366687006 is the National Provider Identifier for KILLY BASCOM, LICSW, a Social Worker - Clinical provider located in Brattleboro, VT. This NPI was enumerated on December 10, 2008.
KILLY BASCOM, LICSW practices at 1222 PUTNEY RD, Brattleboro, VT 05301.
Quick Facts
- NPI
- 1366687006
- Type
- Individual
- Enumerated
- Dec 10, 2008
- Last Updated
- Oct 28, 2024
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