Individual
MR. TAGE ALAN LILJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
125 SAINT PAUL ST STE 107, BURLINGTON, VT 05401-8462
(802) 391-9865
Mailing address
391 SOUTHWIND RD, HINESBURG, VT 05461-4448
(802) 391-9865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0106322
VT
Other
Enumeration date
04/15/2009
Last updated
07/30/2019
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