Cyrus Patten, LICSW | |
125 Saint Paul St, Ste 108, Burlington, VT 05401-8462 | |
(802) 316-8288 | |
Not Available |
Full Name | Cyrus Patten |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 125 Saint Paul St, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871962332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 089.0095340 (Vermont) | Primary |
Entity Name | Vermont Wellness Collaborative Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134830409 PECOS PAC ID: 4486027992 Enrollment ID: O20230303001333 |
Mailing Address | Practice Location Address |
---|---|
Cyrus Patten, LICSW 125 Saint Paul St, Ste 108, Burlington, VT 05401-8462 Ph: (802) 316-8288 | Cyrus Patten, LICSW 125 Saint Paul St, Ste 108, Burlington, VT 05401-8462 Ph: (802) 316-8288 |
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