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Individual

MS. SALLY SUE BURGIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW/LCSW

Contact information

Practice address
508 E SOUTH TEMPLE, #A 30, SALT LAKE CITY, UT 84102-1013
(801) 537-5008
(801) 355-5132
Mailing address
508 E SOUTH TEMPLE, #A 30, SALT LAKE CITY, UT 84102-1013
(801) 537-5008
(801) 355-5132

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
133051-3501
UT

Other

Enumeration date
03/15/2006
Last updated
07/09/2007
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