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1205347366
DONALD MAYNARD
SOUTH BURLINGTON, VT
NPI
1205347366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 151-0128935)
Enumeration Date
2017-10-17
Last Update Date
2017-10-17
Business Address
DONALD MAYNARD LADC
75 SAN REMO DR
SOUTH BURLINGTON, VT 05403-6385
Phone number: 802-488-7350
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Mailing Address
DONALD MAYNARD LADC
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6920
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