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Individual

ALEXIS J SARGENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000428
VT
1041C0700X
Clinical Social Worker
Primary
089.0052135
VT

Other

Enumeration date
06/25/2008
Last updated
04/23/2019
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