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Individual

MRS. IRENE BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
142 S LEXINGTON AVE, BURLINGTON, NC 27215-5823
(336) 227-5476
(336) 437-1898
Mailing address
142 S LEXINGTON AVE, BURLINGTON, NC 27215-5823
(336) 227-5476
(336) 437-1898

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6558
NC

Other

Enumeration date
04/06/2010
Last updated
04/06/2010
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