Individual
MS. KELLY MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MPH
Contact information
Practice address
295 N MAIN ST, BARRE, VT 05641-4108
(802) 522-6377
Mailing address
PO BOX 1323, MONTPELIER, VT 05601-1323
(802) 522-6377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890046663
VT
Other
Enumeration date
10/21/2009
Last updated
04/12/2010
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