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Organization

GAIA DEERING MA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAIA DEERING (OWNER/MANAGER)
(802) 681-7314
Entity
Organization

Contact information

Practice address
504A MAIN ST, SUITE 5, BENNINGTON, VT 05201-2111
(802) 681-7314
(802) 681-7314
Mailing address
504A MAIN ST, SUITE 5, BENNINGTON, VT 05201-2111
(802) 681-7314
(802) 681-7314

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000631
VT

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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