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Individual

BLAINE FERRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 658-0400
(802) 660-3665
Mailing address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 658-0400
(802) 660-3665

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
097-0000532
VT

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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