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1376086280
SCOTT J BURG
BENNINGTON, VT
NPI
1376086280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VT 097.0103158)
Enumeration Date
2016-11-24
Last Update Date
2016-11-24
Business Address
-- SCOTT J BURG M.A.
160 BENMONT AVE SUITE C3-95
BENNINGTON, VT 05201-1873
Phone number: 802-379-2496
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Mailing Address
-- SCOTT J BURG M.A.
160 BENMONT AVE SUITE C3-95
BENNINGTON, VT 05201-1873
Phone number: 802-379-2496
Copy
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