| Richard Doucet Licsw Llc | |
|
36 Park Pl Ste 101 Brattleboro VT 05301-2802 | |
| (802) 246-1221 | |
| (802) 246-1002 |
| Full Name | Richard Doucet Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 36 Park Pl Ste 101, Brattleboro, Vermont |
| Authorized Official Name and Position | Richard Doucet (SOLE PROPRIETOR) |
| Authorized Official Contact | 8022461221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Doucet Licsw Llc 36 Park Pl Ste 101 Brattleboro VT 05301-2802 Ph: (802) 246-1221 | Richard Doucet Licsw Llc 36 Park Pl Ste 101 Brattleboro VT 05301-2802 Ph: (802) 246-1221 |
| NPI Number | 1184090128 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 08/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184090128 | NPI | - | NPPES |
| 1018900 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.00674701 (Vermont) | Primary |
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