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1760690150
CLINTON TYLER WOOD
BURLINGTON, VT
NPI
1760690150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 068-0000137)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. CLINTON TYLER WOOD LCMHC
50 MANSFIELD AVENUE MATER CHRISTI SCHOOL
BURLINGTON, VT 05401
Phone number: 802-658-3992
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Mailing Address
Mr. CLINTON TYLER WOOD LCMHC
96 LOPES AVE
BURLINGTON, VT 05401-2535
Phone number: 802-860-6463
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