Provider First Line Business Practice Location Address:
1 S. PROSPECT ST., ARNOLD 3
Provider Second Line Business Practice Location Address:
UVM MEDICAL CENTER, PSYCHIATRY/CHILD PSYCH.
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-847-4563
Provider Business Practice Location Address Fax Number:
802-847-7998
Provider Enumeration Date:
02/08/2006