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Individual

BRUCE B HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05301
(802) 257-7785
(802) 258-3798
Mailing address
PO BOX 101, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3798

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000104
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000104
LICENSE
VT
Enumeration date
11/01/2007
Last updated
11/01/2007
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