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Individual

MICHAEL BURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 TEXAS ST SE, ALBUQUERQUE, NM 87108-3221
(505) 225-4780
Mailing address
2909 ESPANOLA ST NE, ALBUQUERQUE, NM 87110-3524
(505) 458-9206

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SWB-2025-1194
NM
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/15/2015
Last updated
02/12/2026
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