Individual
MS. ELIZABETH ANNE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2822 ST GEORGE RD, WILLISTON, VT 05495-7431
(802) 881-3396
Mailing address
2822 ST GEORGE RD, WILLISTON, VT 05495-7431
(802) 881-3396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000408
VT
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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