Individual
MACIE MIA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1747 HERITAGE LN STE B101, SYRACUSE, UT 84075-8546
(801) 896-0793
Mailing address
2801 W 1075 S, SYRACUSE, UT 84075-5142
(801) 882-3273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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