Individual
KIMBERLEE D. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
28 E. STATE STREET, STE 8, MONTPELIER, VT 05602
(802) 933-1964
Mailing address
PO BOX 931, MONTPELIER, VT 05601-0931
(802) 398-5317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0122238
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028186
—
VT
Enumeration date
09/23/2010
Last updated
02/04/2021
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