SHANA KOTELCHUCK, LICSW

Social Worker - Clinical

Active Individual
NPI: 1073648895

Practice Address

11 S MAIN ST
Randolph, VT 05060

Phone: (802) 728-4466

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 089-0001123 (VT)

Frequently Asked Questions

NPI 1073648895 is the National Provider Identifier for SHANA KOTELCHUCK, LICSW, a Social Worker - Clinical provider located in Randolph, VT. This NPI was enumerated on February 22, 2007.
SHANA KOTELCHUCK, LICSW practices at 11 S MAIN ST, Randolph, VT 05060.

Quick Facts

NPI
1073648895
Type
Individual
Enumerated
Feb 22, 2007
Last Updated
Jul 8, 2007

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