Individual
MARC LAURENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Mailing address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000568
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2171
—
VT
Enumeration date
05/18/2006
Last updated
03/17/2009
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