Individual
KATHARINE TIERNEY MABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 393-6469
Mailing address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 393-6469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680057653
VT
Other
Enumeration date
01/16/2007
Last updated
10/27/2009
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