Individual
MRS. MARY KATHERINE BURBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
100B STADIUM OAKS DR, CLEMMONS, NC 27012-8961
(336) 377-4242
Mailing address
100B STADIUM OAKS DR, CLEMMONS, NC 27012-8961
(336) 377-4242
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12103A
NC
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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