CLINTON TYLER WOOD

BURLINGTON, VT
NPI1760690150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VT  068-0000137)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
Mr. CLINTON TYLER WOOD LCMHC
50 MANSFIELD AVENUE MATER CHRISTI SCHOOL
BURLINGTON, VT 05401
Phone number: 802-658-3992
Mailing Address
Mr. CLINTON TYLER WOOD LCMHC
96 LOPES AVE
BURLINGTON, VT 05401-2535
Phone number: 802-860-6463