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Individual

MR. MAREK WILLIAM PYKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
560 RAILROAD ST, ST JOHNSBURY, VT 05819
(802) 748-3181
(802) 748-0704
Mailing address
307 SADIE FOSS RD, PLAINFIELD, VT 05667

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000314
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009753
VT
Enumeration date
01/16/2007
Last updated
08/31/2011
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