Mallory Diana Charland, LICSW
Social Worker, Clinical in Essex Junction, VT. Individual provider (NPI-1).
NPI number1497599047
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1497599047
- Entity type
- Individual (NPI-1)
- Name
- Mallory Diana Charland
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2024
- Certification date
- Aug 14, 2025
- Last updated
- Aug 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089.0135917 | VT | Yes |
Practice location
42 Susie Wilson Rd Unit 111Essex Junction, VT 05452-2856
Phone 802-404-2185
Mailing address
42 Susie Wilson Rd Unit 111Essex Junction, VT 05452-2856
Phone 028-922-7672
Other practice locations
462 Hegeman Ave Ste 200
Colchester, VT 05446-3187
Colchester, VT 05446-3187
Phone 802-661-4376 · Fax 802-655-1130
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