Organization
THE MENTOR CONNECTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HULTQUIST (EXECUTIVE DIRECTOR)
(802) 775-3434
Entity
Organization
Contact information
Practice address
110 MERCHANTS ROW STE 210, RUTLAND, VT 05701
(802) 775-3434
Mailing address
110 MERCHANTS ROW STE 210, RUTLAND, VT 05701
(802) 775-3434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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