# RICHARD DOUCET LICSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184090128
- **Authorized official:** RICHARD DOUCET MSW (SOLE PROPRIETOR)
- **Authorized official phone:** (802) 246-1221

## Contact information

- **Practice address:** 36 PARK PL STE 101, BRATTLEBORO, VT 05301-2802
- **Practice address phone:** (802) 246-1221
- **Practice address fax:** (802) 246-1002
- **Mailing address:** 36 PARK PL STE 101, BRATTLEBORO, VT 05301-2802
- **Mailing address phone:** (802) 246-1221
- **Mailing address fax:** (802) 246-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089.00674701 | VT | Yes |

## Other

- **Enumeration date:** 08/13/2015
- **Last updated:** 08/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1018900 | — | VT |