Individual
BRICE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 392-6367
Mailing address
13116 NE 132ND ST, KIRKLAND, WA 98034-2306
(425) 898-4783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WA
1041C0700X
Clinical Social Worker
—
WA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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