Individual
JUDY BURGEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1604 MILITARY RD, CENTRALIA, WA 98531-9015
(360) 736-5558
Mailing address
1604 MILITARY RD, CENTRALIA, WA 98531-9015
(360) 736-5558
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
I DO NOT HAVE A LIC
WA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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