DEREK GEORGE, LICSW, LADC

Social Worker - Clinical

Active Individual
NPI: 1790078707

Practice Address

55 JOY DR
South Burlington, VT 05403

Phone: (802) 658-6111

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 000391 (VT)
Social Worker - Clinical 1041C0700X Yes 089.0000978 (VT)

Frequently Asked Questions

NPI 1790078707 is the National Provider Identifier for DEREK GEORGE, LICSW, LADC, a Social Worker - Clinical provider located in South Burlington, VT. This NPI was enumerated on May 24, 2011.
DEREK GEORGE, LICSW, LADC practices at 55 JOY DR, South Burlington, VT 05403.

Quick Facts

NPI
1790078707
Type
Individual
Enumerated
May 24, 2011
Last Updated
May 24, 2011

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