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Individual
PATRICIA L MARSHALL
Active
Individual
PATRICIA L MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000499
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000499
VT
Other
Enumeration date
09/08/2010
Last updated
02/03/2012
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