Individual
MS. JACQUELINE KERRIGAN LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACP
Contact information
Practice address
2 CHURCH ST, STE. 4A, BURLINGTON, VT 05401-4299
(802) 658-2090
Mailing address
2 CHURCH ST, STE. 4A, BURLINGTON, VT 05401-4299
(802) 658-2090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
483
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003398
—
VT
Enumeration date
12/11/2006
Last updated
07/09/2007
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