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Individual

CARL L. MINTKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MED

Contact information

Practice address
579 S BARRE RD, BARRE, VT 05641-8107
(802) 479-0012
(802) 476-6445
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 479-0012
(802) 476-6445

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134231
VT

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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