NPI 1043339773

Demaris Tisdale, MSW

Practitioner Clinical Social Worker Montpelier, VT

Practice location

Address: 69 Barre St, Montpelier, VT 05602-3504
Phone: (802) 229-2770
Mailing address: 1125 Snipe Ireland Rd, Richmond, VT 05477-9691

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089-0000231 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1043339773
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.