Ellen Marie Duval, LICSW

NPI #1568551703 in Jeffersonville, Vermont

Provider Information

NPI Number: 1568551703
Entity Type: Individual
Name: Ellen Marie Duval, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 157 MAPLE ST.
Address 2: #3
City: Jeffersonville
State: Vermont
ZIP Code: 05464
Phone: (802) 644-6758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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