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Individual

ELLEN G KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
339 DEWEY ST, BENNINGTON, VT 05201-2253
(802) 442-8164
(802) 442-4214
Mailing address
339 DEWEY ST, BENNINGTON, VT 05201-2253
(802) 442-8164
(802) 442-4214

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000126
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN2571
VT
01
615532
MVP
Enumeration date
11/14/2006
Last updated
07/08/2007
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