Individual
JIN LI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
714 BREEZY HILL RD, ST JOHNSBURY, VT 05819-8882
(802) 748-7500
(802) 745-1188
Mailing address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0092264
VT
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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