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1437635760
JANE BULLOCK
ST JOHNSBURY, VT
NPI
1437635760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: VT 0680113354)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
JANE BULLOCK
2225 PORTLAND ST
ST JOHNSBURY, VT 05819-8635
Phone number: 802-748-3181
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Mailing Address
JANE BULLOCK
PO BOX 724
NEWPORT, VT 05855-0724
Phone number: 802-748-3181
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