Individual
MR. GARY D. HILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2 S MAIN ST, RANDOLPH, VT 05060-1367
(540) 355-5341
Mailing address
1182 BEAR HILL RD, RANDOLPH, VT 05060-9031
(540) 355-5341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000173
VT
1041C0700X
Clinical Social Worker
089.0000173
VT
Other
Enumeration date
05/22/2007
Last updated
08/23/2023
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