Individual
SANDRA FULLER BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
Mailing address
901 N 6TH ST, WAUSAU, WI 54403-4718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6413-125
WI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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