Individual
TIMOTHY RICCIARDELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2948 E HILL RD, WOLCOTT, VT 05680-4097
(802) 888-2809
Mailing address
2948 E HILL RD, WOLCOTT, VT 05680-4097
(802) 888-2809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134261
VT
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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