Individual
GORDON DANIEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
23 SUMMER ST, BARRE, VT 05641-3741
(802) 479-4055
(802) 661-5699
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 479-4055
(802) 661-5699
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VT
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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