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Individual

MS. LOREN SARA COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
38 PARK PL, BRATTLEBORO, VT 05301-2827
(802) 257-4555
(802) 254-1111
Mailing address
38 PARK PL, BRATTLEBORO, VT 05301-2827
(802) 257-4555
(802) 254-1111

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0890000247
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8370
BLUE CROSS BLUE SHIELD
VT
05
OVN0492
VT
Enumeration date
11/21/2006
Last updated
12/01/2016
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