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1235246661
SUDHIR SHANTINATH
SOUTH BURLINGTON, VT
NPI
1235246661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089-0000839)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
Mr. SUDHIR SHANTINATH LICSW
56 W TWIN OAKS TER
SOUTH BURLINGTON, VT 05403-7106
Phone number: 802-847-3333
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Mailing Address
Mr. SUDHIR SHANTINATH LICSW
20 HIGH GROVE CT
BURLINGTON, VT 05401-1644
Phone number: 802-864-4698
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