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Individual

IMELDA MELY BURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
608 N MAIN ST, CHILDRESS, TX 79201-3739
(806) 447-0147
Mailing address
604 AVENUE I SE, CHILDRESS, TX 79201-6822
(940) 585-8483

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82580
TX

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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