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Individual

JENNIFER AUDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-A

Contact information

Practice address
130 AUSTINE DR STE 210, BRATTLEBORO, VT 05301-6994
(802) 254-3922
(802) 258-9512
Mailing address
87 FAIRGROUND RD, SPRINGFIELD, VT 05156-2100

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011350
VT
05
30433510
NH
01
68531
AUDIOLOGIST
VT
Enumeration date
09/29/2006
Last updated
03/11/2008
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