Doctor Name: | MS. RUTH CATHERINE KENRICK |
NPI Number: | 1003982034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.I. C.S.W. |
License Number: | 073803-1 |
Business Practice Address: | 53 Myrtle St First Floor Brattleboro, VT - 053016105 |
Business Phone Number: | 8025791782 |
Business Fax Number: | 8025791782 |
Mailing Address: | 53 Myrtle St, First Floor BRATTLEBORO |
State: | VT |
Postal Code: | 053016105 |
Phone Number: | 8025791782 |
Fax Number: | 8025791782 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 02/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 073803-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |