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Individual

MS. JUDITH L JEROME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, LADC

Contact information

Practice address
15 PINECREST DR, ESSEX JUNCTION, VT 05452-2912
(802) 651-7503
(802) 878-4404
Mailing address
3243 COCHRAN RD, RICHMOND, VT 05477-9796
(802) 651-7503

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000417
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03036
CBA
VT
05
1007929
VT
01
16412
UNITED BEHAVIORAL HEALTH
VT
01
19498
BCBS VT
VT
01
29123
CIGNA
VT
01
368093
MVP
VT
Enumeration date
09/04/2006
Last updated
01/26/2018
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