Individual
STEPHANIE M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDN
Contact information
Practice address
366 DORSET ST STE 10, SOUTH BURLINGTON, VT 05403-4479
(802) 999-9207
Mailing address
386 HILLVIEW RD, RICHMOND, VT 05477-9146
(845) 863-5632
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074.0134144
VT
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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