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1215032214
MARK J DETZER
WHITE RIVER JUNCTION, VT
NPI
1215032214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NH 854)
Enumeration Date
2006-09-14
Last Update Date
2013-10-04
Business Address
Dr. MARK J DETZER PhD
85 N MAIN ST SUITE 200
WHITE RIVER JUNCTION, VT 05001-7134
Phone number: 802-299-6498
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Mailing Address
Dr. MARK J DETZER PhD
PO BOX 712
WHITE RIVER JUNCTION, VT 05001-0712
Phone number: 802-299-6498
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