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Individual

MS. JEAN D BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
19606 COASTAL HWY, SUITE 202, REHOBOTH BEACH, DE 19971-8596
(301) 509-5922
(302) 212-2372
Mailing address
19606 COASTAL HWY, SUITE 202, REHOBOTH BEACH, DE 19971-8596
(301) 509-5922
(302) 212-2372

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06228
MD
1041C0700X
Clinical Social Worker
Q1-0001029
DE

Other

Enumeration date
06/30/2005
Last updated
09/19/2016
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