Individual
MRS. ROBIN LYNN BURGESS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
610 WAMPANOAG TR, EAST BAY MENTAL HEALTH, EAST PROVIDENCE, RI 02915
(401) 431-9870
(401) 438-1957
Mailing address
168 ANTHONY ST, EAST PROVIDENCE, RI 02914
(401) 434-4242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC53476
—
RI
Enumeration date
03/27/2006
Last updated
07/08/2007
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