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1376012377
ORIGINAL MIND PLC
RICHMOND, VT
NPI
1376012377
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Entity Type
Organization
Authorized Contact
LOGAN HEGG
Owner
347-688-3466
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
ORIGINAL MIND PLC
117 W MAIN ST
RICHMOND, VT 05477-4451
Phone number: 347-688-3466
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Mailing Address
ORIGINAL MIND PLC
PO BOX 1079
RICHMOND, VT 05477-1079
Phone number: 347-688-3466
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