Individual
MR. STEPHEN M KNISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
160 ALLEN STREET, RUTLAND REGIONAL MEDICAL CENTER, RUTLAND, VT 05701
(802) 747-1857
(802) 747-0129
Mailing address
160 ALLEN STREET, RUTLAND REGIONAL MEDICAL CENTER, RUTLAND, VT 05701
(802) 747-1857
(802) 747-0129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001144
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012896
—
VT
Enumeration date
11/21/2006
Last updated
01/03/2014
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