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1710358445
KENNETH STEVEN MOORE
BENNINGTON, VT
NPI
1710358445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Additional Taxonomies
103TF0000X Psychologist, Family
(Licence: VT 0970113490)
Enumeration Date
2015-10-07
Last Update Date
2015-12-22
Business Address
Dr. KENNETH STEVEN MOORE MHP
100 LEDGEHILL RD
BENNINGTON, VT 05201-2273
Phone number: 802-442-5491
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Mailing Address
Dr. KENNETH STEVEN MOORE MHP
100 LEDGEHILL RD
BENNINGTON, VT 05201-2273
Phone number: 802-442-5491
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