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Individual

TARA GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
20 W CANAL ST STE C2, WINOOSKI, VT 05404-2146
(802) 448-4185
(802) 654-7601
Mailing address
5 PLEASANT AVE, BURLINGTON, VT 05408-2409
(802) 881-3244
(802) 654-7601

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001122
VT

Other

Enumeration date
05/18/2007
Last updated
08/31/2021
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