Individual
JESSICA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 VT ROUTE 111, DERBY, VT 05829-9485
(802) 487-7589
Mailing address
644 MAIN ST, DERBY LINE, VT 05830-8788
(802) 487-7589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
097.0136472
VT
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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