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1497823199
BLAINE FERRIS
BURLINGTON, VT
NPI
1497823199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VT 097-0000532)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
BLAINE FERRIS MS
300 FLYNN AVE
BURLINGTON, VT 05401-5301
Phone number: 802-658-0400
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Mailing Address
BLAINE FERRIS MS
300 FLYNN AVE
BURLINGTON, VT 05401-5301
Phone number: 802-658-0400
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