GREGORY HENDERSON

WILDER, VT
NPI1003247958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  00608)
Enumeration Date2013-12-03
Last Update Date2013-12-03
Business Address
-- GREGORY HENDERSON LADC
39 FOGG FARM ROAD
WILDER, VT 05088
Phone number: 802-295-1311
Mailing Address
-- GREGORY HENDERSON LADC
11 N MAIN ST
RANDOLPH, VT 05060-1126
Phone number: 802-728-4466
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