Individual
ANGELA M BURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2462 ROUTE 54A STE 102, PENN YAN, NY 14527-8836
(315) 640-3570
Mailing address
2462 ROUTE 54A STE 102, PENN YAN, NY 14527-8836
(315) 640-3570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
107210-01
NY
1041C0700X
Clinical Social Worker
Primary
095810
NY
Other
Enumeration date
10/07/2019
Last updated
01/29/2024
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