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NPI Code Detail

MEDICARE: THOMAS A PAQUETTE LICSW

MEDICARE: THOMAS A PAQUETTE LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker089-0000540VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760411987
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS A PAQUETTE LICSW
Provider Business Mailing Address
First Line : 119 HARDY AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1203
Country : US
Telephone Number : 802-864-4731
Fax Number :
Provider Business Practice Location Address
First Line : 300 FLYNN AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-5301
Country : US
Telephone Number : 802-658-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS A PAQUETTE LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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