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Individual

MITCHELL BARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1025 AIRPORT DR, SOUTH BURLINGTON, VT 05403-6013
(802) 488-7711
Mailing address
208 FLYNN AVE, BURLINGTON, VT 05401-5429

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151-0127250
VT
1041C0700X
Clinical Social Worker
Primary
089-0000595
VT

Other

Enumeration date
01/28/2007
Last updated
08/20/2019
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