Individual
MS. GILLIAN LEE SKOVRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
89 SOUTH MAIN STREET, WATERBURY, VT 05676
(802) 498-4978
Mailing address
89 SOUTH MAIN STREET, WATERBURY, VT 05676
(802) 498-4978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000938
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009472
—
VT
Enumeration date
02/22/2007
Last updated
07/08/2007
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