LESLIE WEED FONNER, LICSW

Social Worker - Clinical

Active Individual
NPI: 1255513719

Practice Address

174 HOSPITAL LOOP
Berlin, VT 05602

Phone: (802) 479-4083

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 089-0000523 (VT)

Frequently Asked Questions

NPI 1255513719 is the National Provider Identifier for LESLIE WEED FONNER, LICSW, a Social Worker - Clinical provider located in Berlin, VT. This NPI was enumerated on November 27, 2007.
LESLIE WEED FONNER, LICSW practices at 174 HOSPITAL LOOP, Berlin, VT 05602.

Quick Facts

NPI
1255513719
Type
Individual
Enumerated
Nov 27, 2007
Last Updated
Nov 19, 2015

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