Individual
ELLYN D POQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9 HEATON ST, MONTPELIER, VT 05602-2489
(802) 223-6328
(802) 229-8004
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 229-1399
(802) 223-8623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0123556
VT
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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