Individual
MRS. STEPHANIE D BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1 BIG RED DR, PLYMOUTH, IN 46563-1873
(574) 344-8174
Mailing address
1 BIG RED DR, PLYMOUTH, IN 46563-1873
(574) 344-8174
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10044312
IN
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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