Individual
ANISSA LENORA BURCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W VINE ST, SUITE 344, KISSIMMEE, FL 34741-4643
(407) 501-5839
Mailing address
3501 W VINE ST, SUITE 344, KISSIMMEE, FL 34741-4643
(407) 501-5839
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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