Organization
IDOLYN V. CARNAHAN, LICSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDOLYN VILLIOTTI CARNAHAN LICSW (MEMBER)
(603) 718-0937
Entity
Organization
Contact information
Practice address
1097 MAIN ST, ST JOHNSBURY, VT 05819-2646
(603) 718-0937
Mailing address
PO BOX 111, ST JOHNSBURY, VT 05819-0111
(603) 718-0937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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