Individual
MS. DIANE LEARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
54 HARRIS PLACE, #202, BRATTLEBORO, VT 05301
(802) 254-7345
Mailing address
54 HARRIS PL, #202, BRATTLEBORO, VT 05301-7127
(802) 254-7345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000228
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006703
—
VT
Enumeration date
07/14/2006
Last updated
09/17/2013
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