Individual
TIMOTHY ANGLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 MENDING WALLS RD, MANCHESTER CENTER, VT 05255-4455
(802) 491-9169
Mailing address
PO BOX 321, MANCHESTER, VT 05254-0321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0134455
VT
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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