Individual
CARLY J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CCM
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-3833
(518) 321-4908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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