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1134393655
CHARLES H. KING
MIDDLEBURY, VT
NPI
1134393655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 000276)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
Mr. CHARLES H. KING LADC
10 MERCHANTS ROW
MIDDLEBURY, VT 05753-1421
Phone number: 802-388-4174
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Mailing Address
Mr. CHARLES H. KING LADC
PO BOX 172
MIDDLEBURY, VT 05753-0172
Phone number: 802-388-4174
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