Individual
HANNAH ROSE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7760
Mailing address
3137 FAIRVIEW DR, JACKSON, MI 49203-4638
(517) 358-9055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851116879
MI
1041C0700X
Clinical Social Worker
6851116879
MI
Other
Enumeration date
09/28/2023
Last updated
10/19/2023
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