Individual
SAM PIOTROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 865-3450
(802) 860-5011
Mailing address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 865-3450
(802) 860-5011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470100524
VT
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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