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1003288630
SHANNON KADISH
BURLINGTON, VT
NPI
1003288630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VT 089-0001276)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
SHANNON KADISH LICSW
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6600
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Mailing Address
SHANNON KADISH LICSW
208 FLYNN AVE SUITE 3J
BURLINGTON, VT 05401-5429
Phone number:
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