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Individual

MS. SALLY A MACFADYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
15 LUDWIG COURT, BURLINGTON, VT 05401-4163
(802) 865-2562
Mailing address
15 LUDWIG CT, BURLINGTON, VT 05401-4163
(802) 865-2562

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10117434
VT

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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