Individual
SUSAN DICKEY TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0121079
VT
1041C0700X
Clinical Social Worker
097.0107788
VT
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097-0107788
STATE OF VERMONT LICENSE #
VT
Enumeration date
09/07/2017
Last updated
10/31/2024
Update your record
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