Individual
DR. THOMAS ROBERT BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1594 SARA RD SE, RIO RANCHO, NM 87124-1862
(505) 892-1511
Mailing address
1808 SARATOGA DR NE, RIO RANCHO, NM 87144-7822
(505) 771-2005
(505) 771-2005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06194
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I-06194
STATE LICENSE NUMBER
NM
Enumeration date
01/03/2007
Last updated
07/08/2007
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