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1285741207
MICHAEL A. ITALIA
BRATTLEBORO, VT
NPI
1285741207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: VT 419)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL A. ITALIA MA
139 MAIN ST SUITE 704
BRATTLEBORO, VT 05301-3040
Phone number: 802-254-5875
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Mailing Address
Mr. MICHAEL A. ITALIA MA
139 MAIN ST SUITE 704
BRATTLEBORO, VT 05301-3040
Phone number: 802-254-5875
Copy
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