Organization
FULL CUP LLC
Active
Organization
FULL CUP LLC
Active
Other names
Tomasen Weinbaum
Organization subpart
No
Provider details
NPI number
Authorized official
TOMASEN W WEINBAUM (SOLE MEMBER)
(802) 917-1970
Entity
Organization
Contact information
Practice address
33 COLLEGE ST, MONTPELIER, VT 05602-3674
(802) 379-9079
Mailing address
33 COLLEGE ST, MONTPELIER, VT 05602-3674
(802) 379-9079
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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