LESLIE DIANE WEED FONNER

BERLIN, VT
NPI1255513719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089-0000523)
Enumeration Date2007-11-27
Last Update Date2015-11-19
Business Address
-- LESLIE DIANE WEED FONNER LICSW
174 HOSPITAL LOOP
BERLIN, VT 05602-9105
Phone number: 802-479-4083
Mailing Address
-- LESLIE DIANE WEED FONNER LICSW
PO BOX 647
MONTPELIER, VT 05601-0647
Phone number: 802-479-4083
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