Individual
ALICE KRISTINA POLLVOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 922-7569
Mailing address
PO BOX 361, RICHMOND, VT 05477-0361
(802) 922-7569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047.0133673
VT
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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