Individual
KAREN GAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 863-1326
(802) 660-3665
Mailing address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 863-1326
(802) 660-3665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000667
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008097
—
VT
Enumeration date
10/12/2006
Last updated
08/20/2009
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