# THE CONNECTED SELF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Connected Self
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760188627
- **Authorized official:** KRISTIN QUILL MSW, LICSW (OWNER/PSYCHOTHERAPIST)
- **Authorized official phone:** (978) 852-9093

## Contact information

- **Practice address:** 595 DORSET ST STE 7, SOUTH BURLINGTON, VT 05403-6240
- **Practice address phone:** (978) 852-9093
- **Mailing address:** 595 DORSET ST STE 7, SOUTH BURLINGTON, VT 05403-6240
- **Mailing address phone:** (978) 852-9093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2023
- **Last updated:** 02/13/2023