SHANA KOTELCHUCK

RANDOLPH, VT
NPI1073648895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089-0001123)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- SHANA KOTELCHUCK LICSW
11 S MAIN ST
RANDOLPH, VT 05060-1330
Phone number: 802-728-4466
Mailing Address
-- SHANA KOTELCHUCK LICSW
160 SHADY RILL RD
MIDDLESEX, VT 05602-9370
Phone number: 802-223-2655
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