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1366687006
KILLY J. BASCOM
BRATTLEBORO, VT
NPI
1366687006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VT 089.0087148)
Enumeration Date
2008-12-10
Last Update Date
2016-03-08
Business Address
KILLY J. BASCOM LICSW
36 PARK PL STE 101
BRATTLEBORO, VT 05301-2802
Phone number: 802-246-1221
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Mailing Address
KILLY J. BASCOM LICSW
36 PARK PL STE 101
BRATTLEBORO, VT 05301-2802
Phone number: 802-246-1221
Copy
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