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1942084629
JACQUELINE CLARK
BURLINGTON, VT
NPI
1942084629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089.0135410)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
JACQUELINE CLARK
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6000
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Mailing Address
JACQUELINE CLARK
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6934
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