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Individual

MS. VIVIAN ALINE DOLKART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
9 HANOVER ST, SUITE 2, LEBANON, NH 03766-1312
(603) 448-0126
(603) 448-0129
Mailing address
9 HANOVER ST, SUITE 2, LEBANON, NH 03766-1312
(603) 448-0126
(603) 448-0129

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107330
MA
1041C0700X
Clinical Social Worker
Primary
357
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80001925
NH
Enumeration date
01/10/2007
Last updated
03/27/2008
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