Individual
JOHN SURPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 488-6000
(802) 488-6919
Mailing address
208 FLYNN AVE STE 3J, BURLINGTON, VT 05401-5420
(802) 488-6920
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135564
VT
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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