Organization
SUNRISE FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA MARIE DEAN-FARRAR (EXECUTIVE DIRECTOR)
(802) 442-6934
Entity
Organization
Contact information
Practice address
244 UNION STREET, BENNINGTON, VT 05201
(802) 442-6934
(802) 442-1663
Mailing address
PO BOX 1517, BENNINGTON, VT 05201
(802) 442-6934
(802) 442-1663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005178
—
VT
Enumeration date
04/06/2007
Last updated
09/22/2010
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