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Organization
KIERSTEN PARKS LICSW PLC
Active
Organization
KIERSTEN PARKS LICSW PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERSTEN PARKS LICSW (OWNER)
(802) 398-7070
Entity
Organization
Contact information
Practice address
8 PEARL ST, ESSEX JUNCTION, VT 05452-3604
(802) 404-1901
Mailing address
24 CHEROKEE AVE, ESSEX JUNCTION, VT 05452-3556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
10/05/2023
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