Individual
DEVON ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 HILLSIDE RD, WOODFORD, VT 05201-9484
(413) 281-7721
Mailing address
149 HILLSIDE RD, WOODFORD, VT 05201-9484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
02/06/2014
Last updated
06/27/2025
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