Individual
PROF. KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
782 ENNIS HILL ROAD - CABIN, MARSHFIELD, VT 05658
(802) 793-4650
Mailing address
PO BOX 39, MARSHFIELD, VT 05658-0039
(802) 793-4650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
097.0115070
VT
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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