Provider First Line Business Practice Location Address:
489 MAIN ST
Provider Second Line Business Practice Location Address:
COMMUNICATION SCIENCES & DISORDERS, UVM
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05405-0130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-656-3868
Provider Business Practice Location Address Fax Number:
802-656-2528
Provider Enumeration Date:
12/14/2006