Individual
KATHLEEN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
279 NELSON RD, LAKE ELMORE, VT 05657
(774) 364-2731
Mailing address
PO BOX 66, LAKE ELMORE, VT 05657-0066
(774) 364-2731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
089.0112531
VT
1041C0700X
Clinical Social Worker
Primary
089.0112531
VT
Other
Enumeration date
01/14/2019
Last updated
11/18/2020
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