Individual
KATRINA ALISON GROSECLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 DORIS DR, MILTON, VT 05468-3116
(802) 372-1466
Mailing address
21 DORIS DR, MILTON, VT 05468-3116
(802) 372-1466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VT
Other
Enumeration date
01/15/2020
Last updated
04/08/2021
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