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Organization

K AND L ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS PROPP PSY.D. (PSYCHOLOGIST)
(802) 442-2722
Entity
Organization

Contact information

Practice address
160 BENMONT AVE, BENNINGTON, VT 05201-1873
(802) 442-3520
Mailing address
PO BOX 374, NORTH BENNINGTON, VT 05257-0374
(802) 442-2722

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0480000260
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004399
VT
05
OVNO111
VT
01
PRVNO111
MEDICARE
VT
Enumeration date
06/11/2010
Last updated
06/11/2010
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