Individual
DOUGLAS CLARK COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M .A.
Contact information
Practice address
353 MAPLE ST, SALISBURY, VT 05769-9428
(802) 352-6689
Mailing address
353 MAPLE ST, SALISBURY, VT 05769-9428
(802) 352-6689
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470000685
VT
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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