Individual
PAUL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MAIN ST UNIT 12, BURLINGTON, VT 05401-8475
(781) 439-8674
Mailing address
100 MAIN ST UNIT 12, BURLINGTON, VT 05401-8475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82-5332223
VT
Other
Enumeration date
04/27/2018
Last updated
05/05/2018
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