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1669877452
DANIELLE RAE BERGERON INGRAM
RUTLAND, VT
NPI
1669877452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VT 047.0111914)
Enumeration Date
2014-10-23
Last Update Date
2015-12-21
Business Address
-- DANIELLE RAE BERGERON INGRAM LPC, M.S., QDDP
78 S MAIN ST
RUTLAND, VT 05701-4591
Phone number: 802-775-0828
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Mailing Address
-- DANIELLE RAE BERGERON INGRAM LPC, M.S., QDDP
78 S MAIN ST
RUTLAND, VT 05701-4591
Phone number: 802-775-0828
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