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1639102551
AUGUSTUS E. JORDAN
MIDDLEBURY, VT
NPI
1639102551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: VT 048-0000843)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Dr. AUGUSTUS E. JORDAN Ph.D.
152 MAPLE ST SUITE 202
MIDDLEBURY, VT 05753-1370
Phone number: 802-989-1555
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Mailing Address
Dr. AUGUSTUS E. JORDAN Ph.D.
57 S STREET EXT
MIDDLEBURY, VT 05753-8982
Phone number: 802-388-8360
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