Individual
MRS. CHARLENE M.C. BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3-3367 KUHIO HWY, SUITE 200, LIHUE, HI 96766-1061
(808) 246-0497
(808) 246-9349
Mailing address
3-3367 KUHIO HWY, SUITE 200, LIHUE, HI 96766-1061
(808) 246-0497
(808) 246-9349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-1079
HI
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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