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1407156318
PETER A HATHAWAY
RUTLAND, VT
NPI
1407156318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 000467)
Enumeration Date
2010-10-26
Last Update Date
2010-10-26
Business Address
Mr. PETER A HATHAWAY LADC
135 GRANGER ST
RUTLAND, VT 05701-4405
Phone number: 802-747-3588
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Mailing Address
Mr. PETER A HATHAWAY LADC
135 GRANGER ST
RUTLAND, VT 05701-4405
Phone number: 802-747-3588
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