Individual
MARY BERNADETTE BURKINSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
500 MAIN ST, HYANNIS, MA 02601-5444
(508) 760-0253
Mailing address
500 MAIN ST, HYANNIS, MA 02601-5444
(508) 760-0253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112149
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
MA
Enumeration date
07/18/2018
Last updated
07/18/2018
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