Individual
JAIME B ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 PINE ST, CYFS, BURLINGTON, VT 05401-5353
(802) 488-6600
(802) 488-6901
Mailing address
1138 PINE ST, BURLINGTON, VT 05401-5353
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000732
VT
Other
Enumeration date
01/24/2008
Last updated
11/10/2009
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