Individual
KENNETH DUANE WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
65 NORTHGATE PLZ STE 11, MORRISVILLE, VT 05661-5900
(802) 888-8320
(802) 888-8136
Mailing address
PO BOX 320, PLAINFIELD, VT 05667-0320
(802) 454-8336
(802) 454-8339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0124586
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030951
—
VT
Enumeration date
08/01/2017
Last updated
03/28/2019
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