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1457568776
BERT S KLAVENS
MONTPELIER, VT
NPI
1457568776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 000350)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mr. BERT S KLAVENS LADC
38 ELM ST
MONTPELIER, VT 05602-2995
Phone number: 802-229-9151
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Mailing Address
Mr. BERT S KLAVENS LADC
40 WHEELOCK ST
MONTPELIER, VT 05602-3764
Phone number: 802-223-6803
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