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1740378264
STEPHEN R MOORHEAD
BERLIN, VT
NPI
1740378264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 0680000441)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- STEPHEN R MOORHEAD LCMHC
641 COMSTOCK RD
BERLIN, VT 05602-9610
Phone number: 802-229-4760
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Mailing Address
-- STEPHEN R MOORHEAD LCMHC
62 TERRACE ST
MONTPELIER, VT 05602-2155
Phone number: 802-229-4760
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