Individual
JONATHAN MATTOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 FAIRVIEW STREET, BRATTLEBORO, VT 05301-2579
(802) 254-6028
Mailing address
390 RIVER STREET, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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