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Individual

RICHARD J DUNWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(802) 747-6260
Mailing address
45 PLEASANT ST EXT, LUDLOW, VT 05149-9782
(802) 228-2476

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0890000325
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OVN2236
VT
Enumeration date
11/17/2006
Last updated
07/08/2007
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