Individual
MARIA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2363 N HILL FIELD RD STE 112, LAYTON, UT 84041-6958
(801) 683-0202
Mailing address
2931 S 1260 W, SYRACUSE, UT 84075-9077
(801) 683-0202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
12389614-3501
UT
Other
Enumeration date
10/07/2019
Last updated
03/17/2023
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