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Individual

MISS SALLY ELEANOR BORDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3 LEDGEWOOD CT, MIDDLEBURY, VT 05753-1159
(802) 382-8992
Mailing address
3 LEDGEWOOD CT, MIDDLEBURY, VT 05753-1159
(802) 382-8992

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
684;15SLPA
VT
235Z00000X
Speech-Language Pathologist
Primary
8029467
VT

Other

Enumeration date
08/31/2016
Last updated
01/19/2017
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