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Individual

DENISE R BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MA, LPC

Contact information

Practice address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302
(304) 388-2158
Mailing address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302
(304) 388-2158

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1813
WV
163W00000X
Registered Nurse
29205
WV

Other

Enumeration date
06/19/2009
Last updated
06/19/2009
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