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Contact Information

KIMBERLY D AUSTIN PULEIO, LICSW LADC
111 MAIN ST
HYDE PARK, VT05655
 Phone: 802-888-6215
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KIMBERLY D AUSTIN PULEIO · (Female)

NPI # 1497812739
Status Active
Credentials LICSW LADC
Entity Individual
Enumeration date 01/03/2007
Last updated 06/12/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 000367
  • VT License # 089-0001092
  • VT Medicaid 1012955
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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