Individual
KEVIN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
64 ORCHARD RD, SOUTH BURLINGTON, VT 05403-6132
(802) 793-6389
Mailing address
64 ORCHARD RD, SOUTH BURLINGTON, VT 05403-6132
(802) 793-6389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0063533
VT
1041C0700X
Clinical Social Worker
54764
TX
Other
Enumeration date
11/16/2010
Last updated
02/11/2022
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