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Individual

MR. J. MACGEORGE SNYDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED

Contact information

Practice address
657 S PROSPECT ST, BURLINGTON, VT 05401-3511
(802) 658-4623
Mailing address
657 S PROSPECT ST, BURLINGTON, VT 05401-3511
(802) 658-4623

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000062
VT

Other

Enumeration date
03/22/2008
Last updated
03/22/2008
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