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1265784227
GARY H MITCHELL
ST JOHNSBURY, VT
NPI
1265784227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 104393)
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
-- GARY H MITCHELL LADC
2225 PORTLAND ST
ST JOHNSBURY, VT 05819-8635
Phone number: 802-748-3181
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Mailing Address
-- GARY H MITCHELL LADC
PO BOX 724
NEWPORT, VT 05855-0724
Phone number: 802-748-3181
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