SUSAN G JACOBS

NEWPORT, VT
NPI1437385796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  000468)
Enumeration Date2009-06-01
Last Update Date2009-06-01
Business Address
-- SUSAN G JACOBS LADC
154 DUCHESS STREET
NEWPORT, VT 05855
Phone number: 802-334-7451
Mailing Address
-- SUSAN G JACOBS LADC
PO BOX 724
NEWPORT, VT 05855-0724
Phone number: 802-334-6744
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