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Individual
KRISTIN TRUDEAU
Active
Individual
KRISTIN TRUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000436
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
104078
VT
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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