Individual
MS. ANNTONNETTE LATICEA BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 989-9932
Mailing address
1931 N CAMPBELL RD, ROYAL OAK, MI 48073-4238
(248) 773-1118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801087939
MI
Other
Enumeration date
07/20/2012
Last updated
01/07/2014
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