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1831277060
MARK D MCLANE
BURLINGTON, VT
NPI
1831277060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 008-0000964)
Enumeration Date
2006-11-02
Last Update Date
2009-06-18
Business Address
-- MARK D MCLANE LICSW
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6600
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Mailing Address
-- MARK D MCLANE LICSW
208 FLYNN AVE 3-J
BURLINGTON, VT 05401-5429
Phone number: 802-860-3573
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