ETHAN W GILSON

WINOOSKI, VT
NPI1104374826
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  000728)
Enumeration Date2016-09-12
Last Update Date2016-09-12
Business Address
-- ETHAN W GILSON
476 MAIN ST
WINOOSKI, VT 05404-1300
Phone number: 802-363-1602
Mailing Address
-- ETHAN W GILSON
PO BOX 102
WINOOSKI, VT 05404-0102
Phone number: 802-363-1602
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