Individual
MR. MAXWELL ALEXANDER DUQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 OLD FARM RD, STOWE, VT 05672-4434
(802) 373-2909
Mailing address
539 SPRUCE HAVEN RD, WATERBURY CENTER, VT 05677-8065
(802) 585-5437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097.0134809
VT
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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