Individual
MS. CARLA HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
849 GONYEAU RD, PLAINFIELD, VT 05667-9664
(301) 367-2154
Mailing address
849 GONYEAU RD, PLAINFIELD, VT 05667-9664
(301) 367-2154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0001260
VT
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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