Individual
MRS. SHIRLEY GORDON BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 S. YORK ROAD, SUITE 201, ELMHURST, IL 60126
(630) 941-9123
Mailing address
371 N. RIDGELAND, ELMHURST, IL 60126
(639) 941-9123
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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