Individual
DWIGHT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-1082
(802) 295-9363
Mailing address
PO BOX 85, NORTH HARTLAND, VT 05052-0085
(413) 931-1776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
08/26/2024
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