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Individual

MS. JENNIFER M VOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
111 EDGARTOWN ROAD, VINEYARD HAVEN, MA 02568
(506) 693-7900
(506) 696-0401
Mailing address
111 EDGARTOWN ROAD, VINEYARD HAVEN, MA 02568
(506) 693-7900
(506) 696-0401

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00030241501
UNIVERA
NY
01
000506354005
COMMUNITY BLUE
NY
Enumeration date
10/16/2006
Last updated
03/01/2019
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