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Individual

MRS. RAQUEL FERNS LEFEBVRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
595 DORSET ST, SUITE 2, SOUTH BURLINGTON, VT 05403-6240
(802) 651-8999
(802) 651-8997
Mailing address
595 DORSET ST, SUITE 2, SOUTH BURLINGTON, VT 05403-6240
(802) 651-8999
(802) 651-8997

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470000731
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047-0000731
LICENSED PSYCHOLOGIST
VT
Enumeration date
01/31/2008
Last updated
05/27/2012
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