Individual
MRS. AMBER DAWN BURKHARDT-SIDEBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8139 ERNST RD., MANCHESTER, MI 48158-9565
(734) 276-2765
Mailing address
8139 ERNST RD., MANCHESTER, MI 48158-9565
(734) 276-2765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087977
MI
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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