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Organization
JACQUELYN E. BODE, M.ED., INC.
Active
Organization
JACQUELYN E. BODE, M.ED., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN ELLEN BODE M.ED. (PRESIDENT)
(802) 747-3488
Entity
Organization
Contact information
Practice address
73 CENTER ST, RUTLAND, VT 05701-4046
(802) 747-3488
(802) 747-0006
Mailing address
73 CENTER ST, RUTLAND, VT 05701-4046
(802) 747-3488
(802) 747-0006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
047.0000269
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002611
—
VT
Enumeration date
09/15/2010
Last updated
09/15/2010
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