Organization
VERMONT WELLNESS COLLABORATIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS PATTEN (DIRECTOR)
(802) 316-8288
Entity
Organization
Contact information
Practice address
125 SAINT PAUL ST STE 108, BURLINGTON, VT 05401-8686
(802) 316-8288
Mailing address
125 SAINT PAUL ST STE 108, BURLINGTON, VT 05401-8686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6701726
—
VT
Enumeration date
12/07/2022
Last updated
12/07/2022
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