Individual
LISA M TALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
(802) 258-3723
Mailing address
PO BOX 101, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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