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Ethan Hazzard-Watkins

NPI 1942859368 · on the registry since 2019 · sole proprietor

Practice

Address
60 Austine Dr
Brattleboro, VT 05301
Phone
(802) 451-0934
Clinicians at this address
3

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont