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1063286359
JESSICA DANIELS
RUTLAND, VT
NPI
1063286359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VT 151.0134178)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
JESSICA DANIELS LADC
98 ALLEN ST
RUTLAND, VT 05701-4776
Phone number: 802-747-3588
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Mailing Address
JESSICA DANIELS LADC
78 S MAIN ST
RUTLAND, VT 05701-4591
Phone number: 802-775-8224
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