Individual
KENDRA IRENE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMSW
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4591
(802) 775-2381
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
156.0133944
VT
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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