LISA K LAX

BURLINGTON, VT
NPI1417397647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  0890000134)
Enumeration Date2013-07-02
Last Update Date2013-07-02
Business Address
-- LISA K LAX LICSW
617 RIVERSIDE AVE
BURLINGTON, VT 05401-1601
Phone number: 802-864-6309
Mailing Address
-- LISA K LAX LICSW
617 RIVERSIDE AVE
BURLINGTON, VT 05401-1601
Phone number: 802-864-6309
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