Individual
KELLI BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
108 WESSEX DR, BONAIRE, GA 31005-3493
(707) 580-4078
Mailing address
108 WESSEX DR, BONAIRE, GA 31005-3493
(707) 580-4078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010981
GA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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