Individual
ERICA E TAMBLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5641
(802) 468-2923
Mailing address
71 ALLEN ST, STE 101, RUTLAND, VT 05701-4570
(802) 855-2027
(802) 855-2053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001265
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04047967
—
NY
05
—
1015655
—
VT
Enumeration date
10/13/2008
Last updated
11/10/2016
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