Individual
MS. KATE D. SUSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 865-3450
Mailing address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001037
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010841
—
VT
Enumeration date
07/19/2006
Last updated
07/08/2007
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