Individual
CONNIE L SANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
18 TULIP STREET, LYNDONVILLE, VT 05851
(802) 751-9068
Mailing address
1773 USRT5, WEST BURKE, VT 05871
(802) 751-9068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0090670
VT
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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