GLENN BOMBERGER

BERLIN, VT
NPI1497206585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  151.0124410)
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
-- GLENN BOMBERGER LADC
100 HOSPITALITY DRIVE
BERLIN, VT 05641
Phone number: 802-223-4156
Mailing Address
-- GLENN BOMBERGER LADC
PO BOX G
RANDOLPH, VT 05060-0167
Phone number: 802-728-4466
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