DAVID THEODORE KOLOK

ESSEX JUNCTION, VT
NPI1942502224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  000134)
Enumeration Date2010-11-19
Last Update Date2010-11-19
Business Address
Mr. DAVID THEODORE KOLOK LADC
4 JOSEPH LN
ESSEX JUNCTION, VT 05452-2273
Phone number: 802-343-6503
Mailing Address
Mr. DAVID THEODORE KOLOK LADC
4 JOSEPH LN
ESSEX JUNCTION, VT 05452-2273
Phone number: 802-343-6503
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