Individual
MS. MARY LOUISE BURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8134
(585) 263-3213
Mailing address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8134
(585) 263-3213
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
071945
NY
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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