Individual
TERESA M. YANDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
200 MAIN ST STE 4C, BURLINGTON, VT 05401-8350
(802) 495-1775
Mailing address
189 GREEN HILLS DR, SHELBURNE, VT 05482-6329
(774) 249-5280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001162
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013354
—
VT
Enumeration date
01/03/2007
Last updated
12/04/2021
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