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1043953078
JENNETTE DIFAZIO
MONTPELIER, VT
NPI
1043953078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-18
Last Update Date
2024-05-01
Business Address
JENNETTE DIFAZIO CADC
73 MAIN ST
MONTPELIER, VT 05602-2932
Phone number: 802-225-8355
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Mailing Address
JENNETTE DIFAZIO CADC
PO BOX 647
MONTPELIER, VT 05601-0647
Phone number: 802-225-8355
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