Individual
COREY BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 8TH ST, FLORENCE, OR 97439-9351
(541) 997-6261
Mailing address
PO BOX 429, FLORENCE, OR 97439-0015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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