Individual
PATRICIA ANN PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-4882
Mailing address
1856 MAIN STREET, 1856 MAIN STREET, QUECHEE, VT 05059-0227
(603) 443-1748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018834-SW-LICSW
MA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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