Individual
AMY BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 JACK MARTIN BLVD, 2E, BRICK, NJ 08724-7772
(732) 920-3434
Mailing address
220 JACK MARTIN BLVD, 2E, BRICK, NJ 08724-7772
(732) 920-3434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05648600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477563534
GROUP PIN
—
Enumeration date
11/13/2015
Last updated
11/13/2015
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