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1023551710
JIN LI CHAN
ST JOHNSBURY, VT
NPI
1023551710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089.0092264)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- JIN LI CHAN LICSW
714 BREEZY HILL RD
ST JOHNSBURY, VT 05819-8882
Phone number: 802-748-7500
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Mailing Address
-- JIN LI CHAN LICSW
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819-9210
Phone number: 802-748-8141
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