Individual
VINCENT BUCKHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4 GARFIELD AVE, SPRINGFIELD, VT 05156-3535
(802) 376-1665
Mailing address
4 GARFIELD AVE, SPRINGFIELD, VT 05156-3535
(802) 376-1665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890114807
VT
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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