Individual
RODERIC R KNIGHTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
40 LAKEMONT RD, NEWPORT, VT 05855-9459
(802) 334-1430
Mailing address
2800 HALE ROAD, WATERFORD, VT 05819-9616
(802) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0130776
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031537
—
VT
Enumeration date
09/28/2017
Last updated
07/07/2023
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