Individual
KYLA SUZANNE TREAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
186 NORTH ST, BENNINGTON, VT 05201-1874
(802) 447-6913
(802) 442-2137
Mailing address
186 NORTH ST, BENNINGTON, VT 05201-1874
(802) 447-6913
(802) 442-2137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0104577
VT
Other
Enumeration date
08/27/2009
Last updated
10/03/2014
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