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1588210066
KATHERINE ANNA VAN WAGNER
SOUTH BURLINGTON, VT
NPI
1588210066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089.0115736)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
KATHERINE ANNA VAN WAGNER MSW, LICSW
50 JOY DR
SOUTH BURLINGTON, VT 05403-6561
Phone number: 802-864-7467
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Mailing Address
KATHERINE ANNA VAN WAGNER MSW, LICSW
50 JOY DR
SOUTH BURLINGTON, VT 05403-6561
Phone number:
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