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Individual

SUSAN BETH KINNERSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
229 WESTERN AVE, BRATTLEBORO, VT 05301-6589
(802) 258-8111
Mailing address
187 HILLWINDS RD, BRATTLEBORO, VT 05301-9069
(802) 258-8111

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001248
VT

Other

Enumeration date
05/22/2009
Last updated
05/22/2009
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