Individual
KATHRYN L CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
798 FIDDLE HILL RD, SUDBURY, VT 05733-9586
(802) 272-4094
Mailing address
798 FIDDLE HILL RD, SUDBURY, VT 05733-9586
(802) 272-4094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
580
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008150
—
VT
Enumeration date
10/02/2007
Last updated
10/02/2007
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