Individual
DANIELLE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REG. CLIN. SW INTERN
Contact information
Practice address
3577 SW CORPORATE PKWY, PALM CITY, FL 34990-8153
(772) 220-3439
(772) 220-3484
Mailing address
3577 SW CORPORATE PKWY, PALM CITY, FL 34990-8153
(772) 220-3439
(772) 220-3484
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW13977
FL
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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