| Ruthie Dugas Plc | |
|
187 Saint Paul St Ste 101 Burlington VT 05401-4689 | |
| (802) 227-2258 | |
| Not Available |
| Full Name | Ruthie Dugas Plc |
|---|---|
| Speciality | Social Worker |
| Location | 187 Saint Paul St Ste 101, Burlington, Vermont |
| Authorized Official Name and Position | Ruth Dugas (OWNER) |
| Authorized Official Contact | 8022272258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruthie Dugas Plc 187 Saint Paul St Ste 101 Burlington VT 05401-4689 Ph: (802) 227-2258 | Ruthie Dugas Plc 187 Saint Paul St Ste 101 Burlington VT 05401-4689 Ph: (802) 227-2258 |
| NPI Number | 1316500192 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Medicare PECOS PAC ID | 7012346091 |
|---|---|
| Medicare Enrollment ID | O20200327000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316500192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ruth Lorraine Dugas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649608274 PECOS PAC ID: 4789989724 Enrollment ID: I20200327000525 |
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