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1568960110
JACQUELYN MARIE GEORGINA
BRATTLEBORO, VT
NPI
1568960110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VT 150.0124815)
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
JACQUELYN MARIE GEORGINA
16 TOWN CRIER DR
BRATTLEBORO, VT 05301-8669
Phone number: 802-258-4623
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Mailing Address
JACQUELYN MARIE GEORGINA
151 CHESTNUT ST
BRATTLEBORO, VT 05301-6580
Phone number:
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