Individual
DIANE PAULETTE COLLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Mailing address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0089765
VT
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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