META ELIZA SURJAPUTRA

BURLINGTON, VT
NPI1093382616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VT  048.0135289)
Enumeration Date2021-06-10
Last Update Date2025-10-16
Business Address
META ELIZA SURJAPUTRA
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 802-847-3634
Mailing Address
META ELIZA SURJAPUTRA
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number:
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