Individual
EMILY VIOLET MORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 N WINOOSKI AVE APT 4, BURLINGTON, VT 05401-3748
(203) 644-7632
Mailing address
90 N WINOOSKI AVE APT 4, BURLINGTON, VT 05401-3748
(203) 644-7632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0134219
VT
Other
Enumeration date
07/19/2022
Last updated
07/29/2022
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