Individual
ASIA K BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
5619 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
(910) 651-6764
Mailing address
3405 BURBERRY DR, FAYETTEVILLE, NC 28306-6204
(704) 917-8194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016620
NC
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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