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Contact Information

THE MENTOR CONNECTOR
110 MERCHANTS ROW STE 210
RUTLAND, VT05701
 Phone: 802-775-3434
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for THE MENTOR CONNECTOR · (Female)

NPI # 1154083319
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2021
Last updated 10/06/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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