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Individual

THERESA KAY BURWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAADC II

Contact information

Practice address
2919 E 4TH ST, JOPLIN, MO 64801-1625
(417) 782-7966
(417) 624-4558
Mailing address
PO BOX 4692, JOPLIN, MO 64803-4692
(417) 782-7966
(417) 624-4558

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/22/2019
Last updated
05/22/2019
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