Demaris Tisdale, M.S.W.
Social Worker, Clinical in Montpelier, VT. Individual provider (NPI-1).
NPI number1043339773
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043339773
- Entity type
- Individual (NPI-1)
- Name
- Ms. Demaris Tisdale
- Credential
- M.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089-0000231 | VT | Yes |
Practice location
69 Barre StMontpelier, VT 05602-3504
Phone 802-229-2770
Mailing address
1125 Snipe Ireland RdRichmond, VT 05477-9691
Phone 802-434-3941
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