Individual
KANDI ANN SMITH-MARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, CCM
Contact information
Practice address
1375 MAPLE STREET PLACE, WILLISTON, VT 05495-2555
(802) 316-8444
Mailing address
13 S MAIN ST, JERICHO, VT 05465-2555
(802) 598-1729
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097.0127079
VT
Other
Enumeration date
08/09/2017
Last updated
02/06/2024
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