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Individual

MS. JUSTINE L JEFFREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMTPT

Contact information

Practice address
6 PROSPECT ST, SUITE 101, BRATTLEBORO, VT 05301-6469
(802) 251-0155
Mailing address
6 PROSPECT ST, SUITE 101, BRATTLEBORO, VT 05301-6469
(802) 251-0155

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
989906
CMTPT
Enumeration date
03/08/2007
Last updated
07/08/2007
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