Individual
KEITHA JOAN BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S,.W,
Contact information
Practice address
3954 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-3865
(720) 328-0569
(720) 328-0769
Mailing address
3954 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-3865
(720) 328-0569
(720) 328-0769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1670
CO
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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