Individual
KATHERINE FETHERSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
184 MAIN ST, MONTPELIER, VT 05602-2432
(802) 223-6714
Mailing address
184 MAIN ST, MONTPELIER, VT 05602-2432
(802) 223-6714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 089-0000706
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1876
—
VT
Enumeration date
12/26/2006
Last updated
07/09/2007
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