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Individual

DR. CLIFFORD MILES KARMIOHL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
22 PATCHEN RD, SOUTH BURLINGTON, VT 05403-5704
(802) 864-3012
Mailing address
22 PATCHEN RD, SOUTH BURLINGTON, VT 05403-5704
(802) 434-5838

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
048-0000522
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003397
VT
01
18106
BC & BS OF VERMONT
VT
Enumeration date
04/21/2006
Last updated
05/11/2016
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