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Individual

KAREN BAE KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LADC

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000842
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008031
VT
01
58330
BLUE CROSS BLUE SHIELD
VT
Enumeration date
10/19/2006
Last updated
07/08/2007
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