Individual
ALEXANDRIA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3212
(574) 360-4066
Mailing address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99111782A
IN
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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