LESLEY BRODIE, M.D., P.C.
Ambulatory Health at Elm St, Manchester Center, VT

License number
Vermont 042.0012150
Category
Ambulatory Health
Type
Adult Mental Health
License number
Vermont 042.0012150
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: DR. LESLEY THOMPSON BRODIE M.D.
Title: OFFICER/MEMBER
Phone: (802) 367-1068
Address
Address 2
82 Elm St, Manchester Center, VT 05255
PO Box 766, Manchester, VT 05254
National Provider ID: 1114347440
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LESLEY BRODIE, M.D., PC

1164 W Rd, Manchester, VT

Registration:
Oct 28, 2013
Description:
MEDICAL DOCTOR
State ID:
0283609
Business type:
Domestic Profit Corporation
Agent:
Esq Robert S Pratt,1164 W Rd, Manchester, VT (Mailing)
64 N Main St, Rutland, VT (Physical)

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