Karen Edana Chalom LICSW

NPI 1164589735 - Social Worker - 1041C0700X

NPI Details
NPI 1164589735
Gender Female
Enumeration Date 01/03/2007
Last Updated 09/05/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4056 POMFRET ROAD
SOUTH POMFRET VT, 05067-0109, US
Phone (802) 457-6191
Fax (802) 457-6191
Business Location
PO BOX 109
4056 POMFRET ROAD
SOUTH POMFRET VT, 05067-0109, US
Phone (802) 457-6191
Fax (802) 457-6191
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 12794
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According to our database, Ms. Karen Edana Chalom LICSW NPI is 1164589735, taxonomy code is 1041C0700X and license number is 12794, license state is located at Minnesota. Karen Edana Chalom LICSW physically located at 4056 Pomfret Road, South Pomfret VT, 05067-0109. NPI Number Karen Edana Chalom LICSW has the Individual type.

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1164589735 NPI number is provided on an as is basis without warranty of any kind. 1164589735 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Edana Chalom LICSW are for informational purposes only.