Individual
ANYA RAVEN HUNTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
172 BERLIN ST, MONTPELIER, VT 05602-3566
(802) 229-0399
Mailing address
3 WILDER ST, MONTPELIER, VT 05602-3562
(802) 229-0399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000796
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009234
—
VT
Enumeration date
06/02/2006
Last updated
07/08/2007
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