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Individual
KERRY LYNN BURNS
Active
Individual
KERRY LYNN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115934
CA
1041C0700X
Clinical Social Worker
ISW014523
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115934
CA STATE LICENSURE - LCSW
CA
01
—
ISW01453
RI STATE LICENSURE--LICSW
RI
Enumeration date
11/13/2006
Last updated
05/12/2024
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