Most Relevant Information
Provider Data
| NPI Number: | 1003288630 |
| Provider Name: | SHANNON KADISH LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 089-0001276 |
Most Important Dates
| Enumeration Date: | 10/22/2015 |
| Last Updated: | 10/22/2015 |
Provider Practice Location
1138 PINE ST
BURLINGTON
VT
054015353
Practice Location Phone/Fax
| Phone: | 8024886600 |
| Fax: |
Provider Mailing Location
208 FLYNN AVE
SUITE 3J
BURLINGTON
VT
054015429
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |