Organization
RICHARD DOUCET LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DOUCET MSW (SOLE PROPRIETOR)
(802) 246-1221
Entity
Organization
Contact information
Practice address
36 PARK PL STE 101, BRATTLEBORO, VT 05301-2802
(802) 246-1221
(802) 246-1002
Mailing address
36 PARK PL STE 101, BRATTLEBORO, VT 05301-2802
(802) 246-1221
(802) 246-1002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.00674701
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018900
—
VT
Enumeration date
08/13/2015
Last updated
08/13/2015
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