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Individual

DIANA SUE BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LCAS

Contact information

Practice address
4902 NORTHBEND RD, MC LEANSVILLE, NC 27301-9794
(336) 404-2662
Mailing address
4902 NORTHBEND RD, MC LEANSVILLE, NC 27301-9794
(336) 404-2662

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1301
NC
1041C0700X
Clinical Social Worker
Primary
C005203
NC

Other

Enumeration date
03/01/2006
Last updated
11/18/2008
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