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Organization

JACOB RUSCZEK PHD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB ROBERT RUSCZEK PHD (OWNER)
(802) 505-5026
Entity
Organization

Contact information

Practice address
301 RIVER ST STE 204, MONTPELIER, VT 05602-4327
(802) 505-5026
Mailing address
301 RIVER ST STE 204, MONTPELIER, VT 05602-4327
(802) 505-5026

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
12/27/2023
Last updated
12/27/2023
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