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1073840690
KATHERINE NICOLE SPARKS
BENNINGTON, VT
NPI
1073840690
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Former Name
KATHERINE NICOLE KEMPF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2009-11-04
Last Update Date
2009-11-04
Business Address
KATHERINE NICOLE SPARKS CRC
100 HOSPITAL DR
BENNINGTON, VT 05201-5004
Phone number: 802-447-5081
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Mailing Address
KATHERINE NICOLE SPARKS CRC
100 HOSPITAL DR
BENNINGTON, VT 05201-5004
Phone number: 802-447-5081
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