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1992156442
JESSA CARPENTER
ST JOHNSBURY, VT
NPI
1992156442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 104440)
Enumeration Date
2016-06-27
Last Update Date
2016-06-27
Business Address
Ms. JESSA CARPENTER ADC
117 PLEASANT ST APT 2
ST JOHNSBURY, VT 05819-1355
Phone number: 802-274-7190
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Mailing Address
Ms. JESSA CARPENTER ADC
117 PLEASANT ST APT 2
ST JOHNSBURY, VT 05819-1355
Phone number: 802-274-7190
Copy
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