Provider Demographics
NPI:1790728509
Name:SANBORN, KAREN T (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:T
Last Name:SANBORN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:THELMEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:156 COLLEGE ST
Mailing Address - Street 2:STE 201
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-8423
Mailing Address - Country:US
Mailing Address - Phone:802-651-7673
Mailing Address - Fax:802-860-0183
Practice Address - Street 1:156 COLLEGE ST
Practice Address - Street 2:STE 201 KAREN T SANBORN
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-8423
Practice Address - Country:US
Practice Address - Phone:802-651-7673
Practice Address - Fax:802-860-0183
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical