Individual
TOMIE C. BURDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 S WASHINGTON AVE, GREENVILLE, MS 38701-4720
(662) 332-5060
Mailing address
331 S WASHINGTON AVE, GREENVILLE, MS 38701-4720
(662) 332-5060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4544
MS
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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