Individual
AVERY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
156 COLLEGE ST, SUITE 201, BURLINGTON, VT 05401-8423
(802) 651-7674
Mailing address
3042 VT ROUTE 109, WATERVILLE, VT 05492-9531
(802) 829-0066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0107440
VT
Other
Enumeration date
03/31/2015
Last updated
02/05/2017
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