Natalie Tara Kanner
Social Worker, Clinical in South Burlington, VT. Individual provider (NPI-1).
NPI number1124894787
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1124894787
- Entity type
- Individual (NPI-1)
- Name
- Natalie Tara Kanner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2023
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089.0135623 | VT | Yes |
Other names
- Natalie Tara Long (Former Name)
Practice location
1233 Shelburne Rd Ste 450South Burlington, VT 05403-7780
Phone 802-922-3192
Mailing address
Po Box 433Charlotte, VT 05445-0433
Phone 978-852-4933
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All 92 Clinical Social Worker providers in South Burlington · All 1,091 providers in South Burlington
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