Individual
MS. KAREN EDANA CHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4056 POMFRET ROAD, SOUTH POMFRET, VT 05067-0109
(802) 457-6191
(802) 457-6191
Mailing address
PO BOX 109, 4056 POMFRET ROAD, SOUTH POMFRET, VT 05067-0109
(802) 457-6191
(802) 457-6191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000996
VT
1041C0700X
Clinical Social Worker
12794
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011535
—
VT
Enumeration date
01/03/2007
Last updated
09/05/2013
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