Individual
MR. MARC RICHARD WERNER-GAVRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 PLEASANT ST, BRISTOL, VT 05443-1011
(802) 453-4898
Mailing address
34 PLEASANT ST, BRISTOL, VT 05443-1011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
578
VT
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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