KENNETH STEVEN MOORE

BENNINGTON, VT
NPI1710358445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies103TF0000X Psychologist, Family
(Licence: VT  0970113490)
Enumeration Date2015-10-07
Last Update Date2015-12-22
Business Address
Dr. KENNETH STEVEN MOORE MHP
100 LEDGEHILL RD
BENNINGTON, VT 05201-2273
Phone number: 802-442-5491
Mailing Address
Dr. KENNETH STEVEN MOORE MHP
100 LEDGEHILL RD
BENNINGTON, VT 05201-2273
Phone number: 802-442-5491