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Individual

GERARD C COLPITTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
107 EASTERN AVE, OCTAGON BLDG SUITE C, ST JOHNSBURY, VT 05819-2762
(603) 496-9375
Mailing address
1965 COPPERMINE RD, MONROE, NH 03771-3243
(603) 496-9375

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
089.0090965
VT
1041C0700X
Clinical Social Worker
Primary
1524
NH

Other

Enumeration date
03/05/2007
Last updated
03/18/2013
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