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Individual

MS. JILL B DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
25 WENTWORTH DR, WILLISTON, VT 05495-9733
(802) 878-4990
(802) 878-1477
Mailing address
25 WENTWORTH DR, WILLISTON, VT 05495-9733
(802) 878-4990
(802) 878-1477

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000241
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007564
VT
Enumeration date
04/10/2007
Last updated
07/08/2007
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