Individual
MRS. KATHERINE K. VANDEN BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MAIN ST, STE 101, MONTPELIER, VT 05602-4258
(802) 223-7364
(802) 223-8679
Mailing address
250 MAIN ST, STE 101, MONTPELIER, VT 05602-4258
(802) 223-7364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000770
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008028
—
VT
Enumeration date
09/26/2006
Last updated
06/16/2017
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