| NPI | 1184090128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUCET Sole Proprietor 802-246-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.00674701) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |