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Individual

JESSICA J RODD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
183 TALCOTT RD, C/O ASSOCIATES AT THE GABLES SUITE 206, WILLISTON, VT 05495-2089
(802) 876-1100
(802) 876-1101
Mailing address
183 TALCOTT RD, C/O ASSOCIATES AT THE GABLES SUITE 206, WILLISTON, VT 05495-2089
(802) 876-1100
(802) 876-1101

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000273
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008866
VT
01
18079
BLUE CROSS BLUE SHIELD
VT
Enumeration date
08/08/2006
Last updated
12/13/2009
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