CAROLYN SUZANNE JOHANSEN

BARRE, VT
NPI1578607099
Other NameSUE JOHANSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: VT  074-0000070)
Enumeration Date2007-02-17
Last Update Date2007-07-09
Business Address
Mrs. CAROLYN SUZANNE JOHANSEN RD, CDE, CD
20 S MAIN ST
BARRE, VT 05641-4826
Phone number: 802-476-7607
Mailing Address
Mrs. CAROLYN SUZANNE JOHANSEN RD, CDE, CD
19 WINDRIDGE LN
WATERBURY, VT 05676-9135
Phone number: 802-244-4122