| Frank Carruth, Inc. | |
|
35 Timber Lane South Burlington VT 05403 | |
| (802) 651-7565 | |
| (802) 860-3613 |
| Full Name | Frank Carruth, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 35 Timber Lane, South Burlington, Vermont |
| Authorized Official Name and Position | Frank Wallace Carruth (PRESIDENT) |
| Authorized Official Contact | 8026517565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank Carruth, Inc. 35 Timber Lane South Burlington VT 05403 Ph: (802) 651-7565 | Frank Carruth, Inc. 35 Timber Lane South Burlington VT 05403 Ph: (802) 651-7565 |
| NPI Number | 1316071517 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316071517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089-0000425 (Vermont) | Primary |
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