Individual
JESSICA CAROL SUITOR BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-6360
(253) 582-8440
Mailing address
220 PEARL AVE, LITTLE ROCK, AR 72205-5930
(901) 647-4483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8123-C
AR
Other
Enumeration date
09/08/2017
Last updated
03/06/2023
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