Individual
AYA INOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
41 MAIN ST STE 1, BURLINGTON, VT 05401-8431
(802) 999-8689
Mailing address
41 MAIN ST STE 1, BURLINGTON, VT 05401-8431
(802) 999-8689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0128430
VT
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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