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Organization
HELLA S DOUGLAS PLLC
Active
Organization
HELLA S DOUGLAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELLA SOPHIE DOUGLAS APRN, ADULT PSYCH (OWNER)
(802) 876-4000
Entity
Organization
Contact information
Practice address
188 ALLEN BROOK LN, WILLISTON, VT 05495-9303
(802) 876-4000
(802) 876-4001
Mailing address
188 ALLEN BROOK LN, WILLISTON, VT 05495-9303
(802) 876-4000
(802) 876-4001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1010020560
VT
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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