Individual
KATHLEEN PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6 FAIRFIELD HILL RD, SAINT ALBANS, VT 05478-9767
(802) 393-3382
(844) 203-6133
Mailing address
9 KRUSCH DR, JEFFERSONVILLE, VT 05464-4400
(802) 393-3382
(844) 203-6133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001191
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346578358
—
VT
Enumeration date
12/02/2009
Last updated
12/07/2023
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