Individual
JASON SEAN REVOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC SLP
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1064
(802) 524-1025
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1064
(802) 524-1025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12094457
VT
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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