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Individual

MR. PETER DAVID TENENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Contact information

Practice address
67 RAYMOND CIRCLE, WHITE RIVER JUNCTION, VT 05001
(802) 291-1789
Mailing address
67 RAYMOND CIRCLE, WHITE RIVER JUNCTION, VT 05001
(802) 291-1789

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089.0000242
VT
104100000X
Social Worker
1112
NH

Other

Enumeration date
10/22/2013
Last updated
10/22/2013
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