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Individual

DOUGLAS W NORFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
78 S MAIN ST, RUTLAND, VT 05701-4530
(802) 775-8224
(802) 747-7699
Mailing address
214 SUGAR HOLLOW RD, PITTSFORD, VT 05763-9883
(802) 483-6645

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000531
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00029287
BCBS
VT
05
0VN1900
VT
Enumeration date
10/17/2006
Last updated
07/08/2007
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