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Individual

RALPH INDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
5 S MAIN ST STE 318, WHITE RIVER JUNCTION, VT 05001-7416
(802) 952-9017
Mailing address
PO BOX 316, BROWNSVILLE, VT 05037-0316
(802) 952-9017

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134102
VT
101YM0800X
Mental Health Counselor
1991
NH

Other

Enumeration date
05/04/2015
Last updated
10/29/2018
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