Individual
KIMBERLY ANN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW-C, BHP
Contact information
Practice address
23 CARRIAGE WAY, ELLSWORTH, ME 04605
(207) 667-3239
(207) 667-0171
Mailing address
PO BOX 1373, ELLSWORTH, ME 04605-1373
(207) 667-3239
(207) 667-0171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSX12393
ME
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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