Individual
TIFFANY RACICOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 UNION ST, BENNINGTON, VT 05201-2407
(802) 442-6934
(802) 442-1663
Mailing address
244 UNION ST, BENNINGTON, VT 05201-2407
(802) 442-6934
(802) 442-1663
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
999
VT
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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