Individual
NATALIE TARA KANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 SHELBURNE RD STE 450, SOUTH BURLINGTON, VT 05403-7780
(802) 922-3192
Mailing address
PO BOX 433, CHARLOTTE, VT 05445-0433
(978) 852-4933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135623
VT
Other
Enumeration date
11/27/2023
Last updated
01/29/2024
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