SUSAN IDE

BURLINGTON, VT
NPI1912399148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  0890077028)
Enumeration Date2015-02-25
Last Update Date2015-02-25
Business Address
-- SUSAN IDE
47 MAPLE ST STE 302-304
BURLINGTON, VT 05401-4861
Phone number: 802-373-2851
Mailing Address
-- SUSAN IDE
47 MAPLE ST STE 302-304
BURLINGTON, VT 05401-4861
Phone number: 802-373-2851
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