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Organization
LAVENDER MOON COUNSELING AND HEALING
Active
Organization
LAVENDER MOON COUNSELING AND HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN ANN BURKE LICSW (OWNER)
(978) 712-9698
Entity
Organization
Contact information
Practice address
4-6 WATER STREET, AMESBURY, MA 01913-2736
(978) 712-9698
(978) 373-0026
Mailing address
4-6 WATER STREET, AMESBURY, MA 01913
(978) 712-9698
(978) 373-0026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366501173
—
MA
Enumeration date
09/07/2022
Last updated
09/07/2022
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