Carol Elissa Owen, LICSW

NPI #1124118302 in Fairlee, Vermont

Provider Information

NPI Number
1124118302
Entity Type
Individual
Name
Carol Elissa Owen, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Oct 16, 2006
Last Updated
Mar 18, 2024

Practice Location

Address
28 LAKE MOREY RD APT 2
State
Vermont
ZIP Code
05045-9824
Phone
(207) 779-7635

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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