# SARA J DEMETRY

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

## Provider details

- **NPI number:** 1730897778
- **Authorized official:** SARA DEMETRY LICSW (OWNER/MEMBER)
- **Authorized official phone:** (802) 274-6400

## Contact information

- **Practice address:** 1097 MAIN ST, ST JOHNSBURY, VT 05819-2646
- **Practice address phone:** (802) 274-6400
- **Practice address fax:** (877) 681-3291
- **Mailing address:** PO BOX 4141, ST JOHNSBURY, VT 05819-4141
- **Mailing address phone:** (802) 274-6400
- **Mailing address fax:** (877) 681-3291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2022
- **Last updated:** 11/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1012661 | — | VT |