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1467776732
JENNIFER R MARX
RANDOLPH, VT
NPI
1467776732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 000486)
Enumeration Date
2010-03-16
Last Update Date
2010-03-16
Business Address
-- JENNIFER R MARX LADC
11 N MAIN ST
RANDOLPH, VT 05060-1126
Phone number: 802-728-4466
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Mailing Address
-- JENNIFER R MARX LADC
PO BOX G
RANDOLPH, VT 05060-0167
Phone number: 802-728-4466
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