Individual
JACQUELYN NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
125 SCHOOL ST, ST JOHNSBURY, VT 05819-1431
(802) 748-4424
Mailing address
501 GLOVER RD, GROTON, VT 05046-3512
(802) 535-6993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0136659
VT
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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