Individual
KRISTI CORNFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
56 W TWIN OAKS TER STE 3, SOUTH BURLINGTON, VT 05403-7138
(802) 227-2670
Mailing address
PO BOX 189, COLCHESTER, VT 05446-0189
(802) 227-2670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0122874
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089.0122874
VERMONT STATE LICENSE
VT
Enumeration date
02/19/2019
Last updated
08/16/2023
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