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Individual
MR. ELLIOTT BUELTER
Active
Individual
MR. ELLIOTT BUELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134300
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6705170
—
VT
Enumeration date
01/09/2017
Last updated
04/27/2021
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