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Individual

DR. ELIZABETH B. KOOPERKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
49 SCHOOL ST., HCRS, HARTFORD, VT 05047-0709
(802) 295-3031
Mailing address
390 RIVER ST., HCRS, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
012558-1
NY
103TC0700X
Clinical Psychologist
Primary
048.0093460
VT

Other

Enumeration date
06/22/2010
Last updated
01/12/2015
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