Individual
ELIZABETH MARY BURMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, ACHP-S
Contact information
Practice address
11463 N LILAC LN, FLAGSTAFF, AZ 86004-5609
(440) 773-5102
Mailing address
11463 N LILAC LN, FLAGSTAFF, AZ 86004-5609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-12542
AZ
1041C0700X
Clinical Social Worker
Primary
I 1501138
OH
Other
Enumeration date
08/17/2012
Last updated
02/10/2016
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