Individual
MS. LAURITA BURBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
22071 130 AVE, COLLYER, KS 67631-6033
(785) 769-3042
Mailing address
22071 130 AVE, COLLYER, KS 67631-6033
(785) 769-3042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 2226
KS
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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