Individual
SHELLEY ROLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
192 FAIRVIEW ST, BENNINGTON, VT 05201-9239
(802) 447-1557
Mailing address
171 CASTLE HILL AVE, GREAT BARRINGTON, MA 01230-1051
(413) 429-6314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0000385
VT
1041C0700X
Clinical Social Worker
106349
MA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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