Individual
CLARENCE C CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 SOUTH STREET, WELLS, VT 05774
(845) 677-9069
(888) 287-6382
Mailing address
PO BOX 67, WELLS, VT 05774-0067
(845) 677-9069
(888) 287-6382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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