Individual
MRS. KAWANA LA'SHAYE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 MUNICIPAL DRIVE, SUITE 200, FISHERS, IN 46038
(773) 638-9767
Mailing address
6101 N KEYSTONE AVE STE 100, INDIANAPOLIS, IN 46220-2499
(773) 638-9767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022600
IL
Other
Enumeration date
09/13/2016
Last updated
11/08/2023
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