Individual
MARJORIE INNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
72 SCHOOL LN, WASHINGTON, VT 05675-7400
(802) 883-2312
Mailing address
PO BOX 442, SOUTH ROYALTON, VT 05068-0442
(802) 276-0117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0000972
VT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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