South Royalton School Based Health Clinic
NPI #1376069542 in South Royalton, Vermont
Provider Information
- NPI Number
- 1376069542
- Entity Type
- Organization
- Organization Name
- South Royalton School Based Health Clinic
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 18, 2017
- Last Updated
- Aug 18, 2017
Practice Location
- Address
- 4266 VERMONT ROUTE 14
- City
- South Royalton
- State
- Vermont
- ZIP Code
- 05068
- Phone
- (802) 431-6060
Authorized Official
- Name
- JANE BENNETT
- Title
- ADMINISTRATOR
- Phone
- (802) 431-6060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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