Carolyn Gillis Liberty I, LICSW
Social Worker, Clinical in Middlebury, VT. Individual provider (NPI-1).
NPI number1750413639
StatusActive
Last updated in NPPESAug 13, 2015
Details
- NPI
- 1750413639
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Gillis Liberty I
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2007
- Last updated
- Aug 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089-0001139 | VT | Yes |
Other names
- Carolyn Mercier Gillis (Former Name)
Practice location
89 Main StMiddlebury, VT 05753-1459
Phone 802-388-6751
Mailing address
Po Box 1045Middlebury, VT 05753-5045
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