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Individual

NASHUA CHARLES ARCOLEO MALKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LICSW

Contact information

Practice address
3430 MOUNTAIN RD, STOWE, VT 05672-4800
(518) 563-8000
Mailing address
473 S PROSPECT ST APT 2, BURLINGTON, VT 05401-3566
(732) 421-4802

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
097.0136134
VT
104100000X
Social Worker
113468
NY
104100000X
Social Worker
156.0134175
VT
1041C0700X
Clinical Social Worker
Primary
089.0136535
VT
1041C0700X
Clinical Social Worker
099963
NY

Other

Enumeration date
03/23/2023
Last updated
05/30/2025
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