Individual
KEVIN KIEFABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4591
(802) 775-8224
(802) 747-7699
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4591
(802) 775-8224
(802) 747-7699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000502
VT
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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