Individual
GARY MARVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
157 TOWNE AVE, PLAINFIELD, VT 05667-0320
(802) 454-8336
(802) 454-8339
Mailing address
157 TOWNE AVE, P. O. BOX 320, PLAINFIELD, VT 05667-0320
(802) 454-8336
(802) 454-8339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890094728
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0890094728
VERMONT LICENSE
VT
Enumeration date
04/10/2014
Last updated
04/10/2014
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