Individual
MR. DEREK KAHN ZWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
112 LAKE ST, BURLINGTON, VT 05401-5284
(504) 522-4476
Mailing address
112 LAKE ST, BURLINGTON, VT 05401-5284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134361
VT
Other
Enumeration date
05/11/2017
Last updated
05/18/2021
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