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Individual

CICELY ANN CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
38 PARK PL, BRATTLEBORO, VT 05301-2827
(802) 257-2235
Mailing address
8 GARDEN LN, PUTNEY, VT 05346-8963
(802) 387-2812

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
VT

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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