Individual
IDOLYN CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1097 MAIN ST, SAINT 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
089.0135222
VT
Other
Enumeration date
08/26/2019
Last updated
12/03/2024
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