| Sara J Demetry | |
|
1097 Main St St Johnsbury VT 05819-2646 | |
| (802) 274-6400 | |
| (877) 681-3291 |
| Full Name | Sara J Demetry |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1097 Main St, St Johnsbury, Vermont |
| Authorized Official Name and Position | Sara Demetry (OWNER/MEMBER) |
| Authorized Official Contact | 8022746400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara J Demetry Po Box 4141 St Johnsbury VT 05819-4141 Ph: (802) 274-6400 | Sara J Demetry 1097 Main St St Johnsbury VT 05819-2646 Ph: (802) 274-6400 |
| NPI Number | 1730897778 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730897778 | NPI | - | NPPES |
| 1012661 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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