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MS. DENISE FORKIN LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1003289414

Individual Registrant:
MS. DENISE  FORKIN LMFT
Gender: F
Sole Proprietor

Location and contact information for practice:
127 BUTTERNUT HILL DR  GUILFORD, VT 05301-9461 US
Tel: 802-258-7687  Fax: --

Contact information for business:
127 BUTTERNUT HILL DR  GUILFORD, VT 05301-9461 US
Tel: 802-258-7687  Fax: --

Registration Information:
NPI: 1003289414
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
VT100.0089768

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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