Individual
TAYLOR ZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
243 COMMODORE DR, VERGENNES, VT 05491-7506
(802) 999-2912
Mailing address
243 COMMODORE DR, VERGENNES, VT 05491-7506
(802) 999-2912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134221
VT
1041C0700X
Clinical Social Worker
MC15448
ME
Other
Enumeration date
06/24/2015
Last updated
10/10/2023
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