Individual
MRS. MARTHA ISABEL BURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA/TCM
Contact information
Practice address
2180 MARAVILLA LN, FORT MYERS, FL 33901-7221
(239) 332-7696
(239) 332-4977
Mailing address
1200 COMMONWEALTH CIR APT 204, NAPLES, FL 34116-6631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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