MS. Bonita E Fazio, LICSW
NPI #1699826602 in St Johnsbury, Vermont
Provider Information
- NPI Number
- 1699826602
- Entity Type
- Individual
- Name
- MS. Bonita E Fazio, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Jun 6, 2008
Practice Location
- Address
- 297 SUMMER ST
- Address 2
- KINGDOM RECOVERY CENTER
- City
- St Johnsbury
- State
- Vermont
- ZIP Code
- 05819-2283
- Phone
- (802) 748-2524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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