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Individual

JENNIFER ROMANS BURGOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD,

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0132428
VT
103TC0700X
Clinical Psychologist
PSY28112
CA
106H00000X
Marriage & Family Therapist
51200
CA

Other

Enumeration date
04/06/2007
Last updated
09/28/2021
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