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Individual
OLIVIA JENAI BURLISON
Active
Individual
OLIVIA JENAI BURLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801104536
MI
1041C0700X
Clinical Social Worker
Primary
6801110678
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2018
Last updated
12/19/2023
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