Individual
ADELAIDE JEAN SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
(802) 773-4578
Mailing address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890064849
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017576
—
VT
Enumeration date
03/23/2010
Last updated
09/20/2016
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