Individual
ELISSA KLINGENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 728-5655
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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