MR. Marc Richard Werner-Gavrin

NPI #1194851691 in Bristol, Vermont

Provider Information

NPI Number: 1194851691
Entity Type: Individual
Name: MR. Marc Richard Werner-Gavrin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 34 PLEASANT ST
City: Bristol
State: Vermont
ZIP Code: 05443-1011
Phone: (802) 453-4898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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