PAUL BLACK

RUTLAND, VT
NPI1104446897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VT  0680127083)
Enumeration Date2020-04-22
Last Update Date2020-04-22
Business Address
PAUL BLACK LCMHC
78 S MAIN ST
RUTLAND, VT 05701-4594
Phone number: 802-770-5418
Mailing Address
PAUL BLACK LCMHC
78 S MAIN ST
RUTLAND, VT 05701-4594
Phone number: 802-770-5418
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