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Individual

DEBORAH J BURKHALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
25 MAIN ST, SUITE 203, NORTHAMPTON, MA 01060-3130
(413) 586-6680
Mailing address
25 MAIN STREET, SUITE 203, NORTHAMPTON, MA 01060-3130
(413) 586-6680

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107357
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P06142
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/04/2007
Last updated
04/01/2008
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