Individual
KATHLEEN M BURGHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2444 E SOUTHERN AVE, STE 107, MESA, AZ 85204-5418
(480) 861-7833
Mailing address
PO BOX 656, QUEEN CREEK, AZ 85142-1813
(480) 861-7833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3899
AZ
Other
Enumeration date
05/25/2007
Last updated
03/31/2021
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