Organization
SOUTH ROYALTON SCHOOL BASED HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE BENNETT (ADMINISTRATOR)
(802) 431-6060
Entity
Organization
Contact information
Practice address
4266 VERMONT ROUTE 14, SOUTH ROYALTON, VT 05068
(802) 431-6060
Mailing address
PO BOX 542, SOUTH ROYALTON, VT 05068-0542
(802) 431-6060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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