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Individual

MR. JOHN ERIC BURT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(240) 538-3182
Mailing address
1121 N 44TH ST APT 2084, PHOENIX, AZ 85008-5715
(240) 538-3182

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-16795
AZ

Other

Enumeration date
11/25/2019
Last updated
07/28/2020
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