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1154425296
PAVEL MALM
NEWPORT, VT
NPI
1154425296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 0680000594)
Enumeration Date
2006-09-11
Last Update Date
2021-05-18
Business Address
PAVEL MALM LCMHC
124 E MAIN ST STE 2
NEWPORT, VT 05855-5561
Phone number: 802-327-0077
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Mailing Address
PAVEL MALM LCMHC
PO BOX 622
NEWPORT, VT 05855-0622
Phone number: 802-673-6998
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