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Individual

DR. MILTON J MARASCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
148 COLLEGE ST STE 202A, BURLINGTON, VT 05401-8681
(802) 985-9191
(802) 985-8181
Mailing address
145 PINE HAVEN SHORES RD STE 1011, SHELBURNE, VT 05482-7812
(802) 985-9191

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
717
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN2151
VT
01
2033041
CIGNA
VT
01
324707
MVP
VT
01
39072
BCBS
VT
Enumeration date
06/16/2005
Last updated
08/02/2024
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