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1154396398
DAVID A PORTER
BURLINGTON, VT
NPI
1154396398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 000378)
Enumeration Date
2006-02-21
Last Update Date
2010-05-14
Business Address
-- DAVID A PORTER MA, LADC
86 LAKE ST
BURLINGTON, VT 05401-5297
Phone number: 802-865-3450
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Mailing Address
-- DAVID A PORTER MA, LADC
86 LAKE ST
BURLINGTON, VT 05401-5297
Phone number: 802-865-3450
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