Individual
MRS. STEPHANIE MARIE AVIENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
747 SILK RD, BENNINGTON, VT 05201-8831
(802) 379-9364
Mailing address
747 SILK RD, BENNINGTON, VT 05201-8831
(802) 379-9364
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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