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1851715635
MAPLE LEAF CLINIC PC
WALLINGFORD, VT
NPI
1851715635
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Entity Type
Organization
Authorized Contact
DEAN J MOONEY
Owner
802-446-3577
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VT 620)
Enumeration Date
2014-02-13
Last Update Date
2021-02-05
Business Address
MAPLE LEAF CLINIC PC
167 N MAIN ST
WALLINGFORD, VT 05773-9800
Phone number: 802-446-3577
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Mailing Address
MAPLE LEAF CLINIC PC
167 N MAIN ST
WALLINGFORD, VT 05773-9800
Phone number: 802-446-3577
Copy
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