JACQUELYN MARIE GEORGINA

BRATTLEBORO, VT
NPI1568960110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  150.0124815)
Enumeration Date2018-01-30
Last Update Date2018-01-30
Business Address
JACQUELYN MARIE GEORGINA
16 TOWN CRIER DR
BRATTLEBORO, VT 05301-8669
Phone number: 802-258-4623
Mailing Address
JACQUELYN MARIE GEORGINA
151 CHESTNUT ST
BRATTLEBORO, VT 05301-6580
Phone number:
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