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Individual

GEORGETTE BURRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
106 E GAMBIER ST, MOUNT VERNON, OH 43050-3510
(740) 501-1266
Mailing address
106 E GAMBIER ST, MOUNT VERNON, OH 43050-3510
(740) 501-1266

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.975969-CS
OH
104100000X
Social Worker
Primary
S0014665
OH

Other

Enumeration date
02/18/2016
Last updated
02/18/2016
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