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Individual

DR. TODD DAVID BURNETT

Active
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Individual

DR. TODD DAVID BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.DIV, PSYD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007868
IL
103TC0700X
Clinical Psychologist
PSY003467
GA

Other

Enumeration date
04/06/2006
Last updated
11/01/2011
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