Individual
JULIE R TATKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW-LCSW
Contact information
Practice address
8 HIGH STREET, MIDDLEBURY, VT 05753
(917) 502-0893
Mailing address
8 HIGH STREET, MIDDLEBURY, VT 05753
(917) 502-0893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
077209
NY
1041C0700X
Clinical Social Worker
Primary
089.0124285
VT
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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