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 |