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Individual

ROBERT MARTIN DUWORS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
162 HEGEMAN AVE STE 106, COLCHESTER, VT 05446-3109
(802) 876-7613
(802) 876-7813
Mailing address
91 CAPTAIN CARLTONS ROAD, COTUIT, MA 02635
(508) 420-2288
(508) 477-9334

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY671
RI
103TC0700X
Clinical Psychologist
Primary
048.0074176
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189757
MAGELLAN
01
P04750
BCBS
MA
Enumeration date
12/08/2006
Last updated
10/09/2023
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