Individual
PAMELA M BURGOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14623 S 4TH AVE, PHOENIX, AZ 85045-0456
(602) 256-9599
(480) 585-6109
Mailing address
PO BOX 6605, SCOTTSDALE, AZ 85261-6605
(602) 256-9599
(480) 585-6109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW0540I
AZ
Other
Enumeration date
10/11/2005
Last updated
08/06/2012
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