Individual
PAMELA JEAN PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
3 ALLEN ST, R, RUTLAND, VT 05701-4553
(802) 295-9363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018761
MA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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