Individual
JESSICA A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 N MAIN ST, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 728-4197
Mailing address
59 MERCHANT ST APT 1, BARRE, VT 05641-2954
(802) 728-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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